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 $42.66 Median $42.66 Typical High $114.82 | Facility | None | $42.66 | $42.66 | $114.82 |
Aetna Setting Professional Modifier None Typical Low $42.66 Median $50.12 Typical High $61.66 | Professional | None | $42.66 | $50.12 | $61.66 |
Anthem BCBS Setting Facility Modifier None Typical Low $51.29 Median $70.79 Typical High $223.87 | Facility | None | $51.29 | $70.79 | $223.87 |
Anthem BCBS Setting Professional Modifier None Typical Low $16.22 Median $25.70 Typical High $67.61 | Professional | None | $16.22 | $25.70 | $67.61 |
CareSource Setting Facility Modifier None Typical Low $47.86 Median $47.86 Typical High $47.86 | Facility | None | $47.86 | $47.86 | $47.86 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $125.89 Typical High $194.98 | Facility | None | $64.57 | $125.89 | $194.98 |
Cigna Setting Professional Modifier None Typical Low $24.55 Median $74.13 Typical High $93.33 | Professional | None | $24.55 | $74.13 | $93.33 |
Kaiser Permanente Setting Professional Modifier None Typical Low $70.79 Median $83.18 Typical High $123.03 | Professional | None | $70.79 | $83.18 | $123.03 |
United Setting Professional Modifier None Typical Low $26.30 Median $33.11 Typical High $134.90 | Professional | None | $26.30 | $33.11 | $134.90 |
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 $21.38 Median $25.12 Typical High $30.90 | Professional | 52 · Reduced service | $21.38 | $25.12 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $10.00 Typical High $12.30 | Professional | 53 · Discontinued | $8.51 | $10.00 | $12.30 |
Where Georgia sits
The same service costs 6.0 times more in Alaska than in Alabama. 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· 49th of 51
$38.90
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.