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 $8.13 Median $8.13 Typical High $22.39 | Facility | None | $8.13 | $8.13 | $22.39 |
Aetna Setting Professional Modifier None Typical Low $8.13 Median $9.33 Typical High $11.75 | Professional | None | $8.13 | $9.33 | $11.75 |
Anthem BCBS Setting Facility Modifier None Typical Low $11.22 Median $13.80 Typical High $41.69 | Facility | None | $11.22 | $13.80 | $41.69 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.80 Median $6.03 Typical High $25.12 | Professional | None | $3.80 | $6.03 | $25.12 |
CareSource Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | None | $13.80 | $13.80 | $13.80 |
Cigna Setting Facility Modifier None Typical Low $12.02 Median $26.92 Typical High $57.54 | Facility | None | $12.02 | $26.92 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $6.03 Median $6.76 Typical High $25.12 | Professional | None | $6.03 | $6.76 | $25.12 |
Kaiser Permanente Setting Professional Modifier None Typical Low $10.96 Median $13.49 Typical High $21.38 | Professional | None | $10.96 | $13.49 | $21.38 |
Oscar Health Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | None | $14.79 | $14.79 | $14.79 |
United Setting Professional Modifier None Typical Low $5.13 Median $10.00 Typical High $22.39 | Professional | None | $5.13 | $10.00 | $22.39 |
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 $4.07 Median $4.68 Typical High $5.75 | Professional | 52 · Reduced service | $4.07 | $4.68 | $5.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.62 Median $1.91 Typical High $2.34 | Professional | 53 · Discontinued | $1.62 | $1.91 | $2.34 |
Where Georgia sits
The same service costs 4.0 times more in Alaska than in Texas. 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· 45th of 51
$8.13
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.