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 $27.54 | Professional | None | $10.47 | $13.49 | $27.54 |
Ambetter Setting Professional Modifier None Typical Low $9.55 Median $9.55 Typical High $22.39 | Professional | None | $9.55 | $9.55 | $22.39 |
Anthem BCBS Setting Facility Modifier None Typical Low $13.49 Median $19.05 Typical High $53.70 | Facility | None | $13.49 | $19.05 | $53.70 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.79 Median $8.91 Typical High $26.92 | Professional | None | $4.79 | $8.91 | $26.92 |
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 $15.49 Median $34.67 Typical High $57.54 | Facility | None | $15.49 | $34.67 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $8.32 Median $10.96 Typical High $22.39 | Professional | None | $8.32 | $10.96 | $22.39 |
Kaiser Permanente Setting Professional Modifier None Typical Low $16.98 Median $23.44 Typical High $47.86 | Professional | None | $16.98 | $23.44 | $47.86 |
United Setting Professional Modifier None Typical Low $7.08 Median $10.72 Typical High $33.11 | Professional | None | $7.08 | $10.72 | $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 $2.04 Median $2.63 Typical High $3.02 | Professional | 53 · Discontinued | $2.04 | $2.63 | $3.02 |
Where Georgia sits
The same service costs 4.2 times more in Kansas than in Maryland. 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
$12.59
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.