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 $6.76 Median $6.76 Typical High $18.62 | Facility | None | $6.76 | $6.76 | $18.62 |
Aetna Setting Professional Modifier None Typical Low $6.76 Median $8.91 Typical High $17.78 | Professional | None | $6.76 | $8.91 | $17.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $8.71 Median $13.49 Typical High $35.48 | Facility | None | $8.71 | $13.49 | $35.48 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.16 Median $5.25 Typical High $19.50 | Professional | None | $3.16 | $5.25 | $19.50 |
CareSource Setting Facility Modifier None Typical Low $8.13 Median $8.13 Typical High $8.13 | Facility | None | $8.13 | $8.13 | $8.13 |
Cigna Setting Facility Modifier None Typical Low $10.23 Median $22.39 Typical High $54.95 | Facility | None | $10.23 | $22.39 | $54.95 |
Cigna Setting Professional Modifier None Typical Low $6.31 Median $11.48 Typical High $15.49 | Professional | None | $6.31 | $11.48 | $15.49 |
Kaiser Permanente Setting Professional Modifier None Typical Low $11.22 Median $15.49 Typical High $38.02 | Professional | None | $11.22 | $15.49 | $38.02 |
United Setting Professional Modifier None Typical Low $4.57 Median $7.94 Typical High $21.38 | Professional | None | $4.57 | $7.94 | $21.38 |
3 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 $3.39 Median $4.27 Typical High $4.90 | Professional | 52 · Reduced service | $3.39 | $4.27 | $4.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.35 Median $1.70 Typical High $1.95 | Professional | 53 · Discontinued | $1.35 | $1.70 | $1.95 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $6.31 Median $6.31 Typical High $14.79 | Professional | 59 · Distinct service | $6.31 | $6.31 | $14.79 |
Where Georgia sits
The same service costs 3.0 times more in Alaska 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· 35th of 51
$8.91
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.