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 $5.13 Median $5.13 Typical High $16.22 | Facility | None | $5.13 | $5.13 | $16.22 |
Aetna Setting Professional Modifier None Typical Low $5.13 Median $6.76 Typical High $13.49 | Professional | None | $5.13 | $6.76 | $13.49 |
Ambetter Setting Professional Modifier None Typical Low $2.57 Median $4.68 Typical High $11.22 | Professional | None | $2.57 | $4.68 | $11.22 |
Anthem BCBS Setting Facility Modifier None Typical Low $6.61 Median $10.23 Typical High $26.92 | Facility | None | $6.61 | $10.23 | $26.92 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.40 Median $4.37 Typical High $15.14 | Professional | None | $2.40 | $4.37 | $15.14 |
CareSource Setting Facility Modifier None Typical Low $5.89 Median $5.89 Typical High $5.89 | Facility | None | $5.89 | $5.89 | $5.89 |
Cigna Setting Facility Modifier None Typical Low $7.76 Median $16.98 Typical High $41.69 | Facility | None | $7.76 | $16.98 | $41.69 |
Cigna Setting Professional Modifier None Typical Low $4.79 Median $5.50 Typical High $11.75 | Professional | None | $4.79 | $5.50 | $11.75 |
Kaiser Permanente Setting Professional Modifier None Typical Low $8.51 Median $11.75 Typical High $27.54 | Professional | None | $8.51 | $11.75 | $27.54 |
United Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Facility | None | $15.14 | $15.14 | $15.14 |
United Setting Professional Modifier None Typical Low $3.89 Median $6.31 Typical High $16.22 | Professional | None | $3.89 | $6.31 | $16.22 |
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 $2.57 Median $3.31 Typical High $3.72 | Professional | 52 · Reduced service | $2.57 | $3.31 | $3.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.02 Median $1.29 Typical High $1.51 | Professional | 53 · Discontinued | $1.02 | $1.29 | $1.51 |
Where Georgia sits
The same service costs 3.2 times more in Alaska than in Maryland. 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· 37th of 51
$6.92
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.