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 $7.59 Median $7.59 Typical High $20.89 | Facility | None | $7.59 | $7.59 | $20.89 |
Aetna Setting Professional Modifier None Typical Low $7.59 Median $9.77 Typical High $11.22 | Professional | None | $7.59 | $9.77 | $11.22 |
Anthem BCBS Setting Facility Modifier None Typical Low $9.77 Median $15.14 Typical High $38.90 | Facility | None | $9.77 | $15.14 | $38.90 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.55 Median $5.89 Typical High $21.88 | Professional | None | $3.55 | $5.89 | $21.88 |
CareSource Setting Facility Modifier None Typical Low $8.71 Median $8.71 Typical High $8.71 | Facility | None | $8.71 | $8.71 | $8.71 |
Cigna Setting Facility Modifier None Typical Low $11.22 Median $25.12 Typical High $57.54 | Facility | None | $11.22 | $25.12 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $7.08 Median $13.18 Typical High $16.98 | Professional | None | $7.08 | $13.18 | $16.98 |
Kaiser Permanente Setting Professional Modifier None Typical Low $12.30 Median $16.98 Typical High $41.69 | Professional | None | $12.30 | $16.98 | $41.69 |
United Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Facility | None | $44.67 | $44.67 | $44.67 |
United Setting Professional Modifier None Typical Low $4.79 Median $7.76 Typical High $23.99 | Professional | None | $4.79 | $7.76 | $23.99 |
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 $3.80 Median $4.79 Typical High $5.50 | Professional | 52 · Reduced service | $3.80 | $4.79 | $5.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.51 Median $1.91 Typical High $2.19 | Professional | 53 · Discontinued | $1.51 | $1.91 | $2.19 |
Where Georgia sits
The same service costs 3.5 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· 36th of 51
$9.55
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.