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 $12.02 Median $12.02 Typical High $25.12 | Facility | None | $12.02 | $12.02 | $25.12 |
Aetna Setting Professional Modifier None Typical Low $12.02 Median $15.49 Typical High $21.88 | Professional | None | $12.02 | $15.49 | $21.88 |
Ambetter Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None | $25.70 | $25.70 | $25.70 |
Anthem BCBS Setting Facility Modifier None Typical Low $15.49 Median $22.39 Typical High $61.66 | Facility | None | $15.49 | $22.39 | $61.66 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.62 Median $8.91 Typical High $27.54 | Professional | None | $5.62 | $8.91 | $27.54 |
CareSource Setting Facility Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Facility | None | $14.13 | $14.13 | $14.13 |
CareSource Setting Professional Modifier None Typical Low $11.75 Median $17.78 Typical High $17.78 | Professional | None | $11.75 | $17.78 | $17.78 |
Cigna Setting Facility Modifier None Typical Low $17.78 Median $39.81 Typical High $57.54 | Facility | None | $17.78 | $39.81 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $9.55 Median $20.42 Typical High $27.54 | Professional | None | $9.55 | $20.42 | $27.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $19.50 Median $25.70 Typical High $33.88 | Professional | None | $19.50 | $25.70 | $33.88 |
United Setting Facility Modifier None Typical Low $18.20 Median $18.20 Typical High $18.20 | Facility | None | $18.20 | $18.20 | $18.20 |
United Setting Professional Modifier None Typical Low $8.13 Median $10.96 Typical High $38.02 | Professional | None | $8.13 | $10.96 | $38.02 |
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 $6.03 Median $7.24 Typical High $8.71 | Professional | 52 · Reduced service | $6.03 | $7.24 | $8.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.40 Median $2.88 Typical High $3.47 | Professional | 53 · Discontinued | $2.40 | $2.88 | $3.47 |
Where Georgia sits
The same service costs 3.3 times more in Alaska than in Georgia. 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· 51st of 51
$12.30
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.