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 $13.80 Median $13.80 Typical High $38.02 | Facility | None | $13.80 | $13.80 | $38.02 |
Aetna Setting Professional Modifier None Typical Low $13.80 Median $18.20 Typical High $36.31 | Professional | None | $13.80 | $18.20 | $36.31 |
Ambetter Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $30.20 | Professional | None | $12.88 | $12.88 | $30.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $17.78 Median $27.54 Typical High $72.44 | Facility | None | $17.78 | $27.54 | $72.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.46 Median $10.96 Typical High $39.81 | Professional | None | $6.46 | $10.96 | $39.81 |
CareSource Setting Facility Modifier None Typical Low $16.60 Median $16.60 Typical High $16.60 | Facility | None | $16.60 | $16.60 | $16.60 |
CareSource Setting Professional Modifier None Typical Low $13.49 Median $20.89 Typical High $20.89 | Professional | None | $13.49 | $20.89 | $20.89 |
Cigna Setting Facility Modifier None Typical Low $20.89 Median $45.71 Typical High $63.10 | Facility | None | $20.89 | $45.71 | $63.10 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $14.79 Typical High $31.62 | Professional | None | $12.88 | $14.79 | $31.62 |
Kaiser Permanente Setting Professional Modifier None Typical Low $22.91 Median $31.62 Typical High $77.62 | Professional | None | $22.91 | $31.62 | $77.62 |
United Setting Professional Modifier None Typical Low $9.33 Median $15.14 Typical High $43.65 | Professional | None | $9.33 | $15.14 | $43.65 |
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 $6.92 Median $8.71 Typical High $10.00 | Professional | 52 · Reduced service | $6.92 | $8.71 | $10.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.75 Median $3.47 Typical High $4.07 | Professional | 53 · Discontinued | $2.75 | $3.47 | $4.07 |
Where Georgia sits
The same service costs 3.2 times more in Alaska 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· 38th of 51
$18.20
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.