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 $10.23 Median $10.23 Typical High $28.84 | Facility | None | $10.23 | $10.23 | $28.84 |
Aetna Setting Professional Modifier None Typical Low $10.23 Median $13.18 Typical High $18.62 | Professional | None | $10.23 | $13.18 | $18.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $13.49 Median $20.89 Typical High $53.70 | Facility | None | $13.49 | $20.89 | $53.70 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.79 Median $8.13 Typical High $30.20 | Professional | None | $4.79 | $8.13 | $30.20 |
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 $15.49 Median $33.88 Typical High $57.54 | Facility | None | $15.49 | $33.88 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $9.55 Median $17.78 Typical High $23.99 | Professional | None | $9.55 | $17.78 | $23.99 |
Kaiser Permanente Setting Professional Modifier None Typical Low $16.98 Median $23.44 Typical High $57.54 | Professional | None | $16.98 | $23.44 | $57.54 |
United Setting Professional Modifier None Typical Low $6.46 Median $11.22 Typical High $32.36 | Professional | None | $6.46 | $11.22 | $32.36 |
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 $5.13 Median $6.46 Typical High $7.59 | Professional | 52 · Reduced service | $5.13 | $6.46 | $7.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.04 Median $2.63 Typical High $3.02 | Professional | 53 · Discontinued | $2.04 | $2.63 | $3.02 |
Where Georgia sits
The same service costs 3.5 times more in Kansas than in Nebraska. 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
$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.