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 $19.50 Median $19.50 Typical High $52.48 | Facility | None | $19.50 | $19.50 | $52.48 |
Aetna Setting Professional Modifier None Typical Low $19.50 Median $25.70 Typical High $51.29 | Professional | None | $19.50 | $25.70 | $51.29 |
Ambetter Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $42.66 | Professional | None | $17.78 | $17.78 | $42.66 |
Anthem BCBS Setting Facility Modifier None Typical Low $15.85 Median $38.90 Typical High $57.54 | Facility | None | $15.85 | $38.90 | $57.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.12 Median $14.45 Typical High $56.23 | Professional | None | $9.12 | $14.45 | $56.23 |
CareSource Setting Facility Modifier None Typical Low $11.75 Median $11.75 Typical High $22.91 | Facility | None | $11.75 | $11.75 | $22.91 |
CareSource Setting Professional Modifier None Typical Low $19.05 Median $29.51 Typical High $29.51 | Professional | None | $19.05 | $29.51 | $29.51 |
Cigna Setting Facility Modifier None Typical Low $29.51 Median $64.57 Typical High $89.13 | Facility | None | $29.51 | $64.57 | $89.13 |
Cigna Setting Professional Modifier None Typical Low $26.92 Median $29.51 Typical High $66.07 | Professional | None | $26.92 | $29.51 | $66.07 |
Kaiser Permanente Setting Professional Modifier None Typical Low $32.36 Median $44.67 Typical High $109.65 | Professional | None | $32.36 | $44.67 | $109.65 |
United Setting Professional Modifier None Typical Low $13.18 Median $19.50 Typical High $61.66 | Professional | None | $13.18 | $19.50 | $61.66 |
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 $9.77 Median $12.30 Typical High $14.13 | Professional | 52 · Reduced service | $9.77 | $12.30 | $14.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.89 Median $4.90 Typical High $5.75 | Professional | 53 · Discontinued | $3.89 | $4.90 | $5.75 |
Where Georgia sits
The same service costs 4.4 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· 40th of 51
$25.70
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.