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 $18.20 Median $18.20 Typical High $47.86 | Facility | None | $18.20 | $18.20 | $47.86 |
Aetna Setting Professional Modifier None Typical Low $18.20 Median $21.88 Typical High $26.92 | Professional | None | $18.20 | $21.88 | $26.92 |
Anthem BCBS Setting Facility Modifier None Typical Low $12.02 Median $29.51 Typical High $93.33 | Facility | None | $12.02 | $29.51 | $93.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.76 Median $10.72 Typical High $18.62 | Professional | None | $6.76 | $10.72 | $18.62 |
CareSource Setting Facility Modifier None Typical Low $16.98 Median $16.98 Typical High $16.98 | Facility | None | $16.98 | $16.98 | $16.98 |
Cigna Setting Facility Modifier None Typical Low $26.92 Median $58.88 Typical High $83.18 | Facility | None | $26.92 | $58.88 | $83.18 |
Cigna Setting Professional Modifier None Typical Low $5.37 Median $18.20 Typical High $38.90 | Professional | None | $5.37 | $18.20 | $38.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $22.39 Median $30.90 Typical High $51.29 | Professional | None | $22.39 | $30.90 | $51.29 |
United Setting Professional Modifier None Typical Low $5.75 Median $12.02 Typical High $56.23 | Professional | None | $5.75 | $12.02 | $56.23 |
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 $8.91 Median $10.72 Typical High $12.88 | Professional | 52 · Reduced service | $8.91 | $10.72 | $12.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $4.37 Typical High $5.25 | Professional | 53 · Discontinued | $3.63 | $4.37 | $5.25 |
Where Georgia sits
The same service costs 5.8 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
$12.59
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.