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 $10.72 Median $10.72 Typical High $29.51 | Facility | None | $10.72 | $10.72 | $29.51 |
Aetna Setting Professional Modifier None Typical Low $10.72 Median $12.88 Typical High $15.85 | Professional | None | $10.72 | $12.88 | $15.85 |
Anthem BCBS Setting Facility Modifier None Typical Low $12.88 Median $18.62 Typical High $56.23 | Facility | None | $12.88 | $18.62 | $56.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.07 Median $7.24 Typical High $25.70 | Professional | None | $4.07 | $7.24 | $25.70 |
CareSource Setting Facility Modifier None Typical Low $12.30 Median $12.30 Typical High $12.30 | Facility | None | $12.30 | $12.30 | $12.30 |
Cigna Setting Facility Modifier None Typical Low $16.22 Median $35.48 Typical High $57.54 | Facility | None | $16.22 | $35.48 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $8.13 Median $18.62 Typical High $24.55 | Professional | None | $8.13 | $18.62 | $24.55 |
Kaiser Permanente Setting Professional Modifier None Typical Low $17.78 Median $24.55 Typical High $48.98 | Professional | None | $17.78 | $24.55 | $48.98 |
United Setting Professional Modifier None Typical Low $6.76 Median $9.77 Typical High $33.88 | Professional | None | $6.76 | $9.77 | $33.88 |
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 $5.37 Median $6.46 Typical High $7.94 | Professional | 52 · Reduced service | $5.37 | $6.46 | $7.94 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.14 Median $2.57 Typical High $3.16 | Professional | 53 · Discontinued | $2.14 | $2.57 | $3.16 |
Where Georgia sits
The same service costs 3.4 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· 42nd of 51
$12.30
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.