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 $4.57 Median $4.57 Typical High $12.59 | Facility | None | $4.57 | $4.57 | $12.59 |
Aetna Setting Professional Modifier None Typical Low $4.57 Median $5.75 Typical High $6.61 | Professional | None | $4.57 | $5.75 | $6.61 |
Anthem BCBS Setting Facility Modifier None Typical Low $5.89 Median $9.12 Typical High $23.44 | Facility | None | $5.89 | $9.12 | $23.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.14 Median $3.55 Typical High $12.88 | Professional | None | $2.14 | $3.55 | $12.88 |
CareSource Setting Facility Modifier None Typical Low $4.68 Median $4.68 Typical High $4.68 | Facility | None | $4.68 | $4.68 | $4.68 |
Cigna Setting Facility Modifier None Typical Low $6.76 Median $15.14 Typical High $37.15 | Facility | None | $6.76 | $15.14 | $37.15 |
Cigna Setting Professional Modifier None Typical Low $4.27 Median $7.76 Typical High $10.23 | Professional | None | $4.27 | $7.76 | $10.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $7.59 Median $10.23 Typical High $25.12 | Professional | None | $7.59 | $10.23 | $25.12 |
United Setting Facility Modifier None Typical Low $19.50 Median $19.50 Typical High $19.50 | Facility | None | $19.50 | $19.50 | $19.50 |
United Setting Professional Modifier None Typical Low $2.88 Median $5.01 Typical High $14.45 | Professional | None | $2.88 | $5.01 | $14.45 |
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 $2.29 Median $2.88 Typical High $3.31 | Professional | 52 · Reduced service | $2.29 | $2.88 | $3.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.91 Median $1.15 Typical High $1.32 | Professional | 53 · Discontinued | $0.91 | $1.15 | $1.32 |
Where Georgia sits
The same service costs 3.3 times more in Kansas than in Delaware. 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· 34th of 51
$5.89
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.