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 $17.78 Median $17.78 Typical High $48.98 | Facility | None | $17.78 | $17.78 | $48.98 |
Aetna Setting Professional Modifier None Typical Low $17.78 Median $23.44 Typical High $46.77 | Professional | None | $17.78 | $23.44 | $46.77 |
Ambetter Setting Professional Modifier None Typical Low $16.60 Median $16.60 Typical High $38.90 | Professional | None | $16.60 | $16.60 | $38.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $22.91 Median $35.48 Typical High $93.33 | Facility | None | $22.91 | $35.48 | $93.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.32 Median $15.14 Typical High $51.29 | Professional | None | $8.32 | $15.14 | $51.29 |
CareSource Setting Facility Modifier None Typical Low $21.38 Median $21.38 Typical High $21.38 | Facility | None | $21.38 | $21.38 | $21.38 |
CareSource Setting Professional Modifier None Typical Low $17.38 Median $26.92 Typical High $26.92 | Professional | None | $17.38 | $26.92 | $26.92 |
Cigna Setting Facility Modifier None Typical Low $26.92 Median $58.88 Typical High $81.28 | Facility | None | $26.92 | $58.88 | $81.28 |
Cigna Setting Professional Modifier None Typical Low $16.60 Median $30.90 Typical High $40.74 | Professional | None | $16.60 | $30.90 | $40.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $29.51 Median $40.74 Typical High $95.50 | Professional | None | $29.51 | $40.74 | $95.50 |
United Setting Professional Modifier None Typical Low $12.02 Median $19.95 Typical High $56.23 | Professional | None | $12.02 | $19.95 | $56.23 |
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 $8.91 Median $11.22 Typical High $12.88 | Professional | 52 · Reduced service | $8.91 | $11.22 | $12.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.55 Median $4.47 Typical High $5.25 | Professional | 53 · Discontinued | $3.55 | $4.47 | $5.25 |
Where Georgia sits
The same service costs 4.5 times more in South Carolina 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· 29th of 51
$23.44
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.