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 $7.59 Median $7.59 Typical High $20.42 | Facility | None | $7.59 | $7.59 | $20.42 |
Aetna Setting Professional Modifier None Typical Low $7.59 Median $10.00 Typical High $12.30 | Professional | None | $7.59 | $10.00 | $12.30 |
Ambetter Setting Professional Modifier None Typical Low $7.41 Median $7.41 Typical High $17.38 | Professional | None | $7.41 | $7.41 | $17.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $9.33 Median $13.80 Typical High $41.69 | Facility | None | $9.33 | $13.80 | $41.69 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.88 Median $5.25 Typical High $12.02 | Professional | None | $2.88 | $5.25 | $12.02 |
CareSource Setting Facility Modifier None Typical Low $11.48 Median $11.48 Typical High $11.48 | Facility | None | $11.48 | $11.48 | $11.48 |
CareSource Setting Professional Modifier None Typical Low $7.76 Median $12.02 Typical High $12.02 | Professional | None | $7.76 | $12.02 | $12.02 |
Cigna Setting Facility Modifier None Typical Low $12.02 Median $26.30 Typical High $38.02 | Facility | None | $12.02 | $26.30 | $38.02 |
Cigna Setting Professional Modifier None Typical Low $5.50 Median $14.79 Typical High $18.62 | Professional | None | $5.50 | $14.79 | $18.62 |
Kaiser Permanente Setting Professional Modifier None Typical Low $13.18 Median $18.20 Typical High $54.95 | Professional | None | $13.18 | $18.20 | $54.95 |
United Setting Professional Modifier None Typical Low $5.01 Median $6.92 Typical High $25.12 | Professional | None | $5.01 | $6.92 | $25.12 |
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 $3.80 Median $4.68 Typical High $5.50 | Professional | 52 · Reduced service | $3.80 | $4.68 | $5.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.51 Median $1.86 Typical High $2.19 | Professional | 53 · Discontinued | $1.51 | $1.86 | $2.19 |
Where Georgia sits
The same service costs 4.1 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· 44th of 51
$9.12
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.