How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $5.13 Median $5.13 Typical High $14.13 | Facility | None | $5.13 | $5.13 | $14.13 |
Aetna Setting Professional Modifier None Typical Low $5.13 Median $6.61 Typical High $7.41 | Professional | None | $5.13 | $6.61 | $7.41 |
Anthem BCBS Setting Facility Modifier None Typical Low $6.61 Median $10.23 Typical High $26.92 | Facility | None | $6.61 | $10.23 | $26.92 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.40 Median $3.98 Typical High $16.60 | Professional | None | $2.40 | $3.98 | $16.60 |
CareSource Setting Facility Modifier None Typical Low $4.47 Median $4.47 Typical High $4.47 | Facility | None | $4.47 | $4.47 | $4.47 |
Cigna Setting Facility Modifier None Typical Low $7.76 Median $16.98 Typical High $41.69 | Facility | None | $7.76 | $16.98 | $41.69 |
Cigna Setting Professional Modifier None Typical Low $5.50 Median $9.12 Typical High $11.75 | Professional | None | $5.50 | $9.12 | $11.75 |
Kaiser Permanente Setting Professional Modifier None Typical Low $8.51 Median $11.75 Typical High $33.11 | Professional | None | $8.51 | $11.75 | $33.11 |
United Setting Professional Modifier None Typical Low $3.47 Median $7.24 Typical High $16.22 | Professional | None | $3.47 | $7.24 | $16.22 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.57 Median $3.31 Typical High $3.72 | Professional | 52 · Reduced service | $2.57 | $3.31 | $3.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.02 Median $1.32 Typical High $1.51 | Professional | 53 · Discontinued | $1.02 | $1.32 | $1.51 |
Where Georgia sits
The same service costs 3.5 times more in Kansas than in Alabama. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Georgia· 35th of 51
$7.24
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.