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 $29.51 Median $29.51 Typical High $63.10 | Facility | None | $29.51 | $29.51 | $63.10 |
Aetna Setting Professional Modifier None Typical Low $26.92 Median $31.62 Typical High $39.81 | Professional | None | $26.92 | $31.62 | $39.81 |
Ambetter Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | None | $27.54 | $27.54 | $27.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $26.92 Median $47.86 Typical High $323.59 | Facility | None | $26.92 | $47.86 | $323.59 |
Anthem BCBS Setting Professional Modifier None Typical Low $11.48 Median $18.20 Typical High $53.70 | Professional | None | $11.48 | $18.20 | $53.70 |
CareSource Setting Facility Modifier None Typical Low $23.44 Median $23.44 Typical High $23.44 | Facility | None | $23.44 | $23.44 | $23.44 |
CareSource Setting Professional Modifier None Typical Low $17.38 Median $30.20 Typical High $30.20 | Professional | None | $17.38 | $30.20 | $30.20 |
Cigna Setting Facility Modifier None Typical Low $31.62 Median $81.28 Typical High $123.03 | Facility | None | $31.62 | $81.28 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $13.49 Median $37.15 Typical High $58.88 | Professional | None | $13.49 | $37.15 | $58.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $38.90 Median $43.65 Typical High $194.98 | Professional | None | $38.90 | $43.65 | $194.98 |
United Setting Professional Modifier None Typical Low $14.45 Median $23.99 Typical High $87.10 | Professional | None | $14.45 | $23.99 | $87.10 |
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 $14.79 Median $15.14 Typical High $18.62 | Professional | 52 · Reduced service | $14.79 | $15.14 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $6.03 Typical High $7.59 | Professional | 53 · Discontinued | $5.89 | $6.03 | $7.59 |
Where Georgia sits
The same service costs 10.0 times more in Texas than in Arizona. 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· 43rd of 51
$25.12
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.