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 $12.30 Median $12.30 Typical High $33.88 | Facility | None | $12.30 | $12.30 | $33.88 |
Aetna Setting Professional Modifier None Typical Low $12.30 Median $14.79 Typical High $17.78 | Professional | None | $12.30 | $14.79 | $17.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $15.85 Median $22.91 Typical High $63.10 | Facility | None | $15.85 | $22.91 | $63.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.13 Median $8.51 Typical High $32.36 | Professional | None | $5.13 | $8.51 | $32.36 |
CareSource Setting Facility Modifier None Typical Low $13.80 Median $13.80 Typical High $13.80 | Facility | None | $13.80 | $13.80 | $13.80 |
Cigna Setting Facility Modifier None Typical Low $18.20 Median $40.74 Typical High $57.54 | Facility | None | $18.20 | $40.74 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $10.00 Median $20.89 Typical High $28.18 | Professional | None | $10.00 | $20.89 | $28.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $20.42 Median $27.54 Typical High $60.26 | Professional | None | $20.42 | $27.54 | $60.26 |
United Setting Professional Modifier None Typical Low $8.32 Median $12.02 Typical High $38.90 | Professional | None | $8.32 | $12.02 | $38.90 |
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 $6.17 Median $7.41 Typical High $8.91 | Professional | 52 · Reduced service | $6.17 | $7.41 | $8.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.45 Median $2.95 Typical High $3.55 | Professional | 53 · Discontinued | $2.45 | $2.95 | $3.55 |
Where Georgia sits
The same service costs 4.1 times more in Kansas 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· 44th of 51
$14.45
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.