How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $7.24 Median $7.24 Typical High $8.32 | Facility | None | $7.24 | $7.24 | $8.32 |
Aetna Setting Professional Modifier None Typical Low $7.24 Median $7.24 Typical High $8.51 | Professional | None | $7.24 | $7.24 | $8.51 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.24 Median $10.96 Typical High $19.95 | Professional | None | $7.24 | $10.96 | $19.95 |
Cigna Setting Professional Modifier None Typical Low $9.12 Median $10.72 Typical High $22.91 | Professional | None | $9.12 | $10.72 | $22.91 |
Kaiser Permanente Setting Professional Modifier None Typical Low $6.46 Median $9.33 Typical High $26.92 | Professional | None | $6.46 | $9.33 | $26.92 |
United Setting Professional Modifier None Typical Low $7.08 Median $11.22 Typical High $22.39 | Professional | None | $7.08 | $11.22 | $22.39 |
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 $3.63 Median $3.63 Typical High $4.27 | Professional | 52 · Reduced service | $3.63 | $3.63 | $4.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.45 Median $1.45 Typical High $1.70 | Professional | 53 · Discontinued | $1.45 | $1.45 | $1.70 |
Where Georgia sits
The same service costs 2.6 times more in Alaska than in New York. 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· 22nd of 51
$10.96
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.