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 $17.38 Median $17.38 Typical High $47.86 | Facility | None | $17.38 | $17.38 | $47.86 |
Aetna Setting Professional Modifier None Typical Low $17.38 Median $22.91 Typical High $45.71 | Professional | None | $17.38 | $22.91 | $45.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $22.39 Median $32.36 Typical High $91.20 | Facility | None | $22.39 | $32.36 | $91.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.13 Median $14.79 Typical High $44.67 | Professional | None | $8.13 | $14.79 | $44.67 |
CareSource Setting Facility Modifier None Typical Low $19.50 Median $19.50 Typical High $19.50 | Facility | None | $19.50 | $19.50 | $19.50 |
Cigna Setting Facility Modifier None Typical Low $26.30 Median $57.54 Typical High $79.43 | Facility | None | $26.30 | $57.54 | $79.43 |
Cigna Setting Professional Modifier None Typical Low $16.22 Median $30.20 Typical High $39.81 | Professional | None | $16.22 | $30.20 | $39.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $28.84 Median $38.90 Typical High $81.28 | Professional | None | $28.84 | $38.90 | $81.28 |
United Setting Professional Modifier None Typical Low $11.75 Median $16.22 Typical High $54.95 | Professional | None | $11.75 | $16.22 | $54.95 |
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 $8.71 Median $10.96 Typical High $12.59 | Professional | 52 · Reduced service | $8.71 | $10.96 | $12.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.47 Median $4.37 Typical High $5.01 | Professional | 53 · Discontinued | $3.47 | $4.37 | $5.01 |
Where Georgia sits
The same service costs 6.0 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· 35th of 51
$22.91
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.