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 $10.47 Median $10.47 Typical High $28.84 | Facility | None | $10.47 | $10.47 | $28.84 |
Aetna Setting Professional Modifier None Typical Low $10.47 Median $13.49 Typical High $15.14 | Professional | None | $10.47 | $13.49 | $15.14 |
Anthem BCBS Setting Facility Modifier None Typical Low $13.49 Median $20.89 Typical High $54.95 | Facility | None | $13.49 | $20.89 | $54.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.90 Median $8.32 Typical High $30.90 | Professional | None | $4.90 | $8.32 | $30.90 |
CareSource Setting Facility Modifier None Typical Low $12.59 Median $12.59 Typical High $12.59 | Facility | None | $12.59 | $12.59 | $12.59 |
Cigna Setting Facility Modifier None Typical Low $15.85 Median $34.67 Typical High $57.54 | Facility | None | $15.85 | $34.67 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $9.77 Median $18.20 Typical High $23.99 | Professional | None | $9.77 | $18.20 | $23.99 |
Kaiser Permanente Setting Professional Modifier None Typical Low $17.38 Median $23.44 Typical High $58.88 | Professional | None | $17.38 | $23.44 | $58.88 |
United Setting Professional Modifier None Typical Low $7.08 Median $12.88 Typical High $33.11 | Professional | None | $7.08 | $12.88 | $33.11 |
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 $5.25 Median $6.61 Typical High $7.59 | Professional | 52 · Reduced service | $5.25 | $6.61 | $7.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.09 Median $2.63 Typical High $3.02 | Professional | 53 · Discontinued | $2.09 | $2.63 | $3.02 |
Where Georgia sits
The same service costs 3.7 times more in Kansas than in Oklahoma. 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· 36th of 51
$13.80
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.