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 $22.39 Median $22.39 Typical High $63.10 | Facility | None | $22.39 | $22.39 | $63.10 |
Aetna Setting Professional Modifier None Typical Low $22.39 Median $29.51 Typical High $67.61 | Professional | None | $22.39 | $29.51 | $67.61 |
Ambetter Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $64.57 | Professional | None | $20.89 | $20.89 | $64.57 |
Anthem BCBS Setting Facility Modifier None Typical Low $28.84 Median $42.66 Typical High $117.49 | Facility | None | $28.84 | $42.66 | $117.49 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.47 Median $17.78 Typical High $58.88 | Professional | None | $10.47 | $17.78 | $58.88 |
CareSource Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Facility | None | $25.70 | $25.70 | $25.70 |
Cigna Setting Facility Modifier None Typical Low $33.88 Median $67.61 Typical High $102.33 | Facility | None | $33.88 | $67.61 | $102.33 |
Cigna Setting Professional Modifier None Typical Low $20.89 Median $23.99 Typical High $51.29 | Professional | None | $20.89 | $23.99 | $51.29 |
Kaiser Permanente Setting Professional Modifier None Typical Low $37.15 Median $51.29 Typical High $112.20 | Professional | None | $37.15 | $51.29 | $112.20 |
United Setting Professional Modifier None Typical Low $15.14 Median $22.39 Typical High $70.79 | Professional | None | $15.14 | $22.39 | $70.79 |
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 $11.22 Median $14.13 Typical High $16.60 | Professional | 52 · Reduced service | $11.22 | $14.13 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.47 Median $5.75 Typical High $6.61 | Professional | 53 · Discontinued | $4.47 | $5.75 | $6.61 |
Where Georgia sits
The same service costs 3.7 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· 46th of 51
$26.92
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.