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 $9.33 Median $9.33 Typical High $25.70 | Facility | None | $9.33 | $9.33 | $25.70 |
Aetna Setting Professional Modifier None Typical Low $9.33 Median $12.02 Typical High $13.49 | Professional | None | $9.33 | $12.02 | $13.49 |
Ambetter Setting Professional Modifier None Typical Low $8.71 Median $8.71 Typical High $8.71 | Professional | None | $8.71 | $8.71 | $8.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $12.02 Median $18.62 Typical High $48.98 | Facility | None | $12.02 | $18.62 | $48.98 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.37 Median $7.41 Typical High $27.54 | Professional | None | $4.37 | $7.41 | $27.54 |
CareSource Setting Facility Modifier None Typical Low $11.22 Median $11.22 Typical High $11.22 | Facility | None | $11.22 | $11.22 | $11.22 |
Cigna Setting Facility Modifier None Typical Low $14.13 Median $30.90 Typical High $57.54 | Facility | None | $14.13 | $30.90 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $8.71 Median $16.22 Typical High $21.38 | Professional | None | $8.71 | $16.22 | $21.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $15.49 Median $21.38 Typical High $52.48 | Professional | None | $15.49 | $21.38 | $52.48 |
United Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
United Setting Professional Modifier None Typical Low $6.31 Median $10.23 Typical High $29.51 | Professional | None | $6.31 | $10.23 | $29.51 |
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 $4.68 Median $5.89 Typical High $6.76 | Professional | 52 · Reduced service | $4.68 | $5.89 | $6.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.86 Median $2.34 Typical High $2.75 | Professional | 53 · Discontinued | $1.86 | $2.34 | $2.75 |
Where Georgia sits
The same service costs 3.2 times more in Alaska than in Kentucky. 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· 35th of 51
$12.30
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.