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 $4.37 Median $4.37 Typical High $12.02 | Facility | None | $4.37 | $4.37 | $12.02 |
Aetna Setting Professional Modifier None Typical Low $4.37 Median $5.62 Typical High $6.31 | Professional | None | $4.37 | $5.62 | $6.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $5.62 Median $8.71 Typical High $22.39 | Facility | None | $5.62 | $8.71 | $22.39 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.04 Median $3.24 Typical High $12.88 | Professional | None | $2.04 | $3.24 | $12.88 |
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 $6.46 Median $14.45 Typical High $35.48 | Facility | None | $6.46 | $14.45 | $35.48 |
Cigna Setting Professional Modifier None Typical Low $3.98 Median $7.41 Typical High $9.77 | Professional | None | $3.98 | $7.41 | $9.77 |
Kaiser Permanente Setting Professional Modifier None Typical Low $7.24 Median $9.77 Typical High $23.99 | Professional | None | $7.24 | $9.77 | $23.99 |
United Setting Professional Modifier None Typical Low $2.95 Median $5.37 Typical High $13.80 | Professional | None | $2.95 | $5.37 | $13.80 |
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 $2.19 Median $2.75 Typical High $3.16 | Professional | 52 · Reduced service | $2.19 | $2.75 | $3.16 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.87 Median $1.10 Typical High $1.26 | Professional | 53 · Discontinued | $0.87 | $1.10 | $1.26 |
Where Georgia sits
The same service costs 3.0 times more in Alaska than in Maryland. 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· 36th of 51
$5.62
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.