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 $13.49 Median $19.05 Typical High $37.15 | Facility | None | $13.49 | $19.05 | $37.15 |
Aetna Setting Professional Modifier None Typical Low $13.49 Median $17.78 Typical High $35.48 | Professional | None | $13.49 | $17.78 | $35.48 |
Ambetter Setting Professional Modifier None Typical Low $12.59 Median $12.59 Typical High $29.51 | Professional | None | $12.59 | $12.59 | $29.51 |
Anthem BCBS Setting Facility Modifier None Typical Low $17.38 Median $26.92 Typical High $70.79 | Facility | None | $17.38 | $26.92 | $70.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.31 Median $10.72 Typical High $38.90 | Professional | None | $6.31 | $10.72 | $38.90 |
CareSource Setting Facility Modifier None Typical Low $16.22 Median $16.22 Typical High $16.22 | Facility | None | $16.22 | $16.22 | $16.22 |
Cigna Setting Facility Modifier None Typical Low $20.42 Median $44.67 Typical High $63.10 | Facility | None | $20.42 | $44.67 | $63.10 |
Cigna Setting Professional Modifier None Typical Low $12.59 Median $23.44 Typical High $30.90 | Professional | None | $12.59 | $23.44 | $30.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $22.39 Median $30.90 Typical High $75.86 | Professional | None | $22.39 | $30.90 | $75.86 |
United Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
United Setting Professional Modifier None Typical Low $9.12 Median $14.79 Typical High $42.66 | Professional | None | $9.12 | $14.79 | $42.66 |
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 $6.76 Median $8.51 Typical High $9.77 | Professional | 52 · Reduced service | $6.76 | $8.51 | $9.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.69 Median $3.39 Typical High $3.98 | Professional | 53 · Discontinued | $2.69 | $3.39 | $3.98 |
Where Georgia sits
The same service costs 3.3 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· 37th of 51
$17.78
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.