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 $30.20 | Facility | None | $11.22 | $11.22 | $30.20 |
Aetna Setting Professional Modifier None Typical Low $11.22 Median $13.18 Typical High $16.22 | Professional | None | $11.22 | $13.18 | $16.22 |
Anthem BCBS Setting Facility Modifier None Typical Low $14.13 Median $19.50 Typical High $58.88 | Facility | None | $14.13 | $19.50 | $58.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.47 Median $7.08 Typical High $19.95 | Professional | None | $4.47 | $7.08 | $19.95 |
CareSource Setting Facility Modifier None Typical Low $13.18 Median $13.18 Typical High $13.18 | Facility | None | $13.18 | $13.18 | $13.18 |
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 $22.91 Typical High $32.36 | Professional | None | $18.62 | $22.91 | $32.36 |
United Setting Professional Modifier None Typical Low $7.08 Median $10.23 Typical High $35.48 | Professional | None | $7.08 | $10.23 | $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 $6.61 Typical High $8.13 | Professional | 52 · Reduced service | $5.62 | $6.61 | $8.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.24 Median $2.63 Typical High $3.24 | Professional | 53 · Discontinued | $2.24 | $2.63 | $3.24 |
Where Georgia sits
The same service costs 3.7 times more in Alaska than in Georgia. 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· 51st of 51
$10.23
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.