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 $32.36 Median $32.36 Typical High $91.20 | Facility | None | $32.36 | $32.36 | $91.20 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $42.66 Typical High $47.86 | Professional | None | $32.36 | $42.66 | $47.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $42.66 Median $66.07 Typical High $169.82 | Facility | None | $42.66 | $66.07 | $169.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $15.14 Median $27.54 Typical High $95.50 | Professional | None | $15.14 | $27.54 | $95.50 |
CareSource Setting Facility Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15 | Facility | None | $37.15 | $37.15 | $37.15 |
Cigna Setting Facility Modifier None Typical Low $48.98 Median $95.50 Typical High $147.91 | Facility | None | $48.98 | $95.50 | $147.91 |
Cigna Setting Professional Modifier None Typical Low $30.20 Median $56.23 Typical High $74.13 | Professional | None | $30.20 | $56.23 | $74.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $53.70 Median $74.13 Typical High $181.97 | Professional | None | $53.70 | $74.13 | $181.97 |
United Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Facility | None | $120.23 | $120.23 | $120.23 |
United Setting Professional Modifier None Typical Low $20.42 Median $35.48 Typical High $102.33 | Professional | None | $20.42 | $35.48 | $102.33 |
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 $16.22 Median $20.42 Typical High $23.99 | Professional | 52 · Reduced service | $16.22 | $20.42 | $23.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $8.32 Typical High $9.55 | Professional | 53 · Discontinued | $6.46 | $8.32 | $9.55 |
Where Georgia sits
The same service costs 3.5 times more in Kansas than in Rhode Island. 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
$42.66
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.