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 $23.44 Median $23.44 Typical High $61.66 | Facility | None | $23.44 | $23.44 | $61.66 |
Aetna Setting Professional Modifier None Typical Low $23.44 Median $30.20 Typical High $61.66 | Professional | None | $23.44 | $30.20 | $61.66 |
Ambetter Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | None | $50.12 | $50.12 | $50.12 |
Anthem BCBS Setting Facility Modifier None Typical Low $26.92 Median $41.69 Typical High $120.23 | Facility | None | $26.92 | $41.69 | $120.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.96 Median $28.84 Typical High $64.57 | Professional | None | $10.96 | $28.84 | $64.57 |
CareSource Setting Professional Modifier None Typical Low $41.69 Median $45.71 Typical High $47.86 | Professional | None | $41.69 | $45.71 | $47.86 |
Cigna Setting Facility Modifier None Typical Low $35.48 Median $69.18 Typical High $107.15 | Facility | None | $35.48 | $69.18 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $17.78 Median $47.86 Typical High $138.04 | Professional | None | $17.78 | $47.86 | $138.04 |
Kaiser Permanente Setting Professional Modifier None Typical Low $31.62 Median $45.71 Typical High $72.44 | Professional | None | $31.62 | $45.71 | $72.44 |
United Setting Professional Modifier None Typical Low $13.49 Median $20.89 Typical High $75.86 | Professional | None | $13.49 | $20.89 | $75.86 |
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 $11.75 Median $13.80 Typical High $16.98 | Professional | 52 · Reduced service | $11.75 | $13.80 | $16.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $5.50 Typical High $6.76 | Professional | 53 · Discontinued | $4.68 | $5.50 | $6.76 |
Where Georgia sits
The same service costs 3.0 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· 42nd of 51
$30.20
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.