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 $27.54 Median $27.54 Typical High $77.62 | Facility | None | $27.54 | $27.54 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $27.54 Median $32.36 Typical High $39.81 | Professional | None | $27.54 | $32.36 | $39.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $26.92 Median $47.86 Typical High $144.54 | Facility | None | $26.92 | $47.86 | $144.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.96 Median $28.84 Typical High $70.79 | Professional | None | $10.96 | $28.84 | $70.79 |
CareSource Setting Professional Modifier None Typical Low $50.12 Median $53.70 Typical High $56.23 | Professional | None | $50.12 | $53.70 | $56.23 |
Cigna Setting Facility Modifier None Typical Low $41.69 Median $81.28 Typical High $125.89 | Facility | None | $41.69 | $81.28 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $20.89 Median $53.70 Typical High $162.18 | Professional | None | $20.89 | $53.70 | $162.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $37.15 Median $53.70 Typical High $79.43 | Professional | None | $37.15 | $53.70 | $79.43 |
United Setting Professional Modifier None Typical Low $13.49 Median $25.12 Typical High $89.13 | Professional | None | $13.49 | $25.12 | $89.13 |
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 $13.80 Median $16.22 Typical High $19.95 | Professional | 52 · Reduced service | $13.80 | $16.22 | $19.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.50 Median $6.46 Typical High $7.94 | Professional | 53 · Discontinued | $5.50 | $6.46 | $7.94 |
Where Georgia sits
The same service costs 3.3 times more in Alaska than in Florida. 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· 47th of 51
$31.62
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.