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 $7.94 Median $7.94 Typical High $21.38 | Facility | None | $7.94 | $7.94 | $21.38 |
Aetna Setting Professional Modifier None Typical Low $7.94 Median $10.47 Typical High $29.51 | Professional | None | $7.94 | $10.47 | $29.51 |
Ambetter Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | None | $45.71 | $45.71 | $45.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $11.22 Median $33.88 Typical High $131.83 | Facility | None | $11.22 | $33.88 | $131.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.02 Median $5.37 Typical High $26.30 | Professional | None | $3.02 | $5.37 | $26.30 |
CareSource Setting Facility Modifier None Typical Low $12.02 Median $12.02 Typical High $12.02 | Facility | None | $12.02 | $12.02 | $12.02 |
Cigna Setting Facility Modifier None Typical Low $19.50 Median $69.18 Typical High $114.82 | Facility | None | $19.50 | $69.18 | $114.82 |
Cigna Setting Professional Modifier None Typical Low $16.98 Median $45.71 Typical High $57.54 | Professional | None | $16.98 | $45.71 | $57.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $41.69 Median $56.23 Typical High $72.44 | Professional | None | $41.69 | $56.23 | $72.44 |
United Setting Professional Modifier None Typical Low $5.75 Median $7.24 Typical High $79.43 | Professional | None | $5.75 | $7.24 | $79.43 |
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 $3.98 Median $5.25 Typical High $15.14 | Professional | 52 · Reduced service | $3.98 | $5.25 | $15.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.58 Median $2.09 Typical High $6.03 | Professional | 53 · Discontinued | $1.58 | $2.09 | $6.03 |
Where Georgia sits
The same service costs 10.0 times more in Alaska than in New Jersey. 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· 48th of 51
$10.23
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.