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 $9.77 Median $9.77 Typical High $26.92 | Facility | None | $9.77 | $9.77 | $26.92 |
Aetna Setting Professional Modifier None Typical Low $9.77 Median $11.48 Typical High $14.13 | Professional | None | $9.77 | $11.48 | $14.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $11.75 Median $16.60 Typical High $50.12 | Facility | None | $11.75 | $16.60 | $50.12 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.63 Median $6.61 Typical High $21.88 | Professional | None | $3.63 | $6.61 | $21.88 |
CareSource Setting Facility Modifier None Typical Low $10.96 Median $10.96 Typical High $10.96 | Facility | None | $10.96 | $10.96 | $10.96 |
Cigna Setting Facility Modifier None Typical Low $14.45 Median $32.36 Typical High $57.54 | Facility | None | $14.45 | $32.36 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $6.76 Median $16.98 Typical High $22.39 | Professional | None | $6.76 | $16.98 | $22.39 |
Kaiser Permanente Setting Professional Modifier None Typical Low $16.22 Median $21.88 Typical High $40.74 | Professional | None | $16.22 | $21.88 | $40.74 |
United Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
United Setting Professional Modifier None Typical Low $6.46 Median $8.91 Typical High $30.90 | Professional | None | $6.46 | $8.91 | $30.90 |
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 $4.90 Median $5.89 Typical High $7.08 | Professional | 52 · Reduced service | $4.90 | $5.89 | $7.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.95 Median $2.34 Typical High $2.82 | Professional | 53 · Discontinued | $1.95 | $2.34 | $2.82 |
Where Georgia sits
The same service costs 3.7 times more in Alaska than in Kentucky. 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· 47th of 51
$10.96
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.