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 $12.88 Median $12.88 Typical High $36.31 | Facility | None | $12.88 | $12.88 | $36.31 |
Aetna Setting Professional Modifier None Typical Low $12.88 Median $16.60 Typical High $19.05 | Professional | None | $12.88 | $16.60 | $19.05 |
Anthem BCBS Setting Facility Modifier None Typical Low $17.38 Median $26.30 Typical High $67.61 | Facility | None | $17.38 | $26.30 | $67.61 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.03 Median $11.75 Typical High $41.69 | Professional | None | $6.03 | $11.75 | $41.69 |
CareSource Setting Facility Modifier None Typical Low $14.45 Median $14.45 Typical High $14.45 | Facility | None | $14.45 | $14.45 | $14.45 |
Cigna Setting Facility Modifier None Typical Low $19.50 Median $42.66 Typical High $60.26 | Facility | None | $19.50 | $42.66 | $60.26 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $22.91 Typical High $30.20 | Professional | None | $12.88 | $22.91 | $30.20 |
Kaiser Permanente Setting Professional Modifier None Typical Low $21.38 Median $29.51 Typical High $77.62 | Professional | None | $21.38 | $29.51 | $77.62 |
United Setting Professional Modifier None Typical Low $10.00 Median $16.98 Typical High $47.86 | Professional | None | $10.00 | $16.98 | $47.86 |
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 $6.46 Median $8.32 Typical High $9.55 | Professional | 52 · Reduced service | $6.46 | $8.32 | $9.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.63 Median $3.31 Typical High $3.80 | Professional | 53 · Discontinued | $2.63 | $3.31 | $3.80 |
Where Georgia sits
The same service costs 3.2 times more in Alaska than in Nebraska. 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· 32nd of 51
$18.20
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.