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 $19.95 Median $19.95 Typical High $54.95 | Facility | None | $19.95 | $19.95 | $54.95 |
Aetna Setting Professional Modifier None Typical Low $19.95 Median $23.44 Typical High $28.84 | Professional | None | $19.95 | $23.44 | $28.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $23.99 Median $33.11 Typical High $102.33 | Facility | None | $23.99 | $33.11 | $102.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.59 Median $24.55 Typical High $46.77 | Professional | None | $7.59 | $24.55 | $46.77 |
Cigna Setting Facility Modifier None Typical Low $29.51 Median $66.07 Typical High $91.20 | Facility | None | $29.51 | $66.07 | $91.20 |
Cigna Setting Professional Modifier None Typical Low $13.18 Median $39.81 Typical High $117.49 | Professional | None | $13.18 | $39.81 | $117.49 |
Kaiser Permanente Setting Professional Modifier None Typical Low $29.51 Median $41.69 Typical High $72.44 | Professional | None | $29.51 | $41.69 | $72.44 |
United Setting Professional Modifier None Typical Low $12.59 Median $17.78 Typical High $64.57 | Professional | None | $12.59 | $17.78 | $64.57 |
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 $10.00 Median $11.75 Typical High $14.45 | Professional | 52 · Reduced service | $10.00 | $11.75 | $14.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.98 Median $4.68 Typical High $5.75 | Professional | 53 · Discontinued | $3.98 | $4.68 | $5.75 |
Where Georgia sits
The same service costs 5.4 times more in Texas 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· 27th of 51
$27.54
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.