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 $10.00 Median $10.00 Typical High $31.62 | Facility | None | $10.00 | $10.00 | $31.62 |
Aetna Setting Professional Modifier None Typical Low $10.00 Median $13.18 Typical High $26.30 | Professional | None | $10.00 | $13.18 | $26.30 |
Ambetter Setting Professional Modifier None Typical Low $9.12 Median $9.12 Typical High $28.84 | Professional | None | $9.12 | $9.12 | $28.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $12.88 Median $19.95 Typical High $52.48 | Facility | None | $12.88 | $19.95 | $52.48 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.68 Median $8.51 Typical High $29.51 | Professional | None | $4.68 | $8.51 | $29.51 |
CareSource Setting Facility Modifier None Typical Low $12.02 Median $12.02 Typical High $12.02 | Facility | None | $12.02 | $12.02 | $12.02 |
Cigna Setting Facility Modifier None Typical Low $15.14 Median $33.11 Typical High $57.54 | Facility | None | $15.14 | $33.11 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $9.33 Median $16.98 Typical High $22.91 | Professional | None | $9.33 | $16.98 | $22.91 |
Kaiser Permanente Setting Professional Modifier None Typical Low $16.60 Median $22.39 Typical High $56.23 | Professional | None | $16.60 | $22.39 | $56.23 |
United Setting Professional Modifier None Typical Low $6.31 Median $10.96 Typical High $31.62 | Professional | None | $6.31 | $10.96 | $31.62 |
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 $5.01 Median $6.31 Typical High $7.24 | Professional | 52 · Reduced service | $5.01 | $6.31 | $7.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.00 Median $2.51 Typical High $2.95 | Professional | 53 · Discontinued | $2.00 | $2.51 | $2.95 |
Where Georgia sits
The same service costs 4.3 times more in Kansas 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· 37th of 51
$13.18
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.