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 $11.22 Median $11.22 Typical High $30.90 | Facility | None | $11.22 | $11.22 | $30.90 |
Aetna Setting Professional Modifier None Typical Low $11.22 Median $14.13 Typical High $20.42 | Professional | None | $11.22 | $14.13 | $20.42 |
Ambetter Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | None | $9.77 | $9.77 | $9.77 |
Anthem BCBS Setting Facility Modifier None Typical Low $14.45 Median $20.42 Typical High $58.88 | Facility | None | $14.45 | $20.42 | $58.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.47 Median $8.13 Typical High $28.84 | Professional | None | $4.47 | $8.13 | $28.84 |
CareSource Setting Facility Modifier None Typical Low $12.59 Median $12.59 Typical High $12.59 | Facility | None | $12.59 | $12.59 | $12.59 |
CareSource Setting Professional Modifier None Typical Low $10.96 Median $16.98 Typical High $16.98 | Professional | None | $10.96 | $16.98 | $16.98 |
Cigna Setting Facility Modifier None Typical Low $16.98 Median $37.15 Typical High $57.54 | Facility | None | $16.98 | $37.15 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $8.91 Median $19.50 Typical High $25.70 | Professional | None | $8.91 | $19.50 | $25.70 |
Kaiser Permanente Setting Professional Modifier None Typical Low $18.62 Median $25.12 Typical High $53.70 | Professional | None | $18.62 | $25.12 | $53.70 |
United Setting Professional Modifier None Typical Low $7.08 Median $10.72 Typical High $35.48 | Professional | None | $7.08 | $10.72 | $35.48 |
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 $5.62 Median $6.76 Typical High $8.13 | Professional | 52 · Reduced service | $5.62 | $6.76 | $8.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.24 Median $2.69 Typical High $3.24 | Professional | 53 · Discontinued | $2.24 | $2.69 | $3.24 |
Where Georgia sits
The same service costs 3.5 times more in Alaska than in New York. 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· 38th of 51
$13.49
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.