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 $25.70 Median $25.70 Typical High $54.95 | Facility | None | $25.70 | $25.70 | $54.95 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $25.70 Typical High $32.36 | Professional | None | $21.38 | $25.70 | $32.36 |
Anthem BCBS Setting Facility Modifier None Typical Low $23.44 Median $41.69 Typical High $165.96 | Facility | None | $23.44 | $41.69 | $165.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.00 Median $15.85 Typical High $40.74 | Professional | None | $10.00 | $15.85 | $40.74 |
Cigna Setting Facility Modifier None Typical Low $7.08 Median $69.18 Typical High $107.15 | Facility | None | $7.08 | $69.18 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $11.48 Median $31.62 Typical High $50.12 | Professional | None | $11.48 | $31.62 | $50.12 |
Kaiser Permanente Setting Professional Modifier None Typical Low $33.11 Median $37.15 Typical High $316.23 | Professional | None | $33.11 | $37.15 | $316.23 |
United Setting Professional Modifier None Typical Low $11.48 Median $20.89 Typical High $75.86 | Professional | None | $11.48 | $20.89 | $75.86 |
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 $10.72 Median $12.88 Typical High $16.22 | Professional | 52 · Reduced service | $10.72 | $12.88 | $16.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $5.13 Typical High $6.46 | Professional | 53 · Discontinued | $4.27 | $5.13 | $6.46 |
Where Georgia sits
The same service costs 8.5 times more in Alaska 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· 50th of 51
$17.78
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.