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 $40.74 Median $40.74 Typical High $46.77 | Facility | None | $40.74 | $40.74 | $46.77 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $41.69 Typical High $47.86 | Professional | None | $40.74 | $41.69 | $47.86 |
Anthem BCBS Setting Professional Modifier None Typical Low $40.74 Median $56.23 Typical High $89.13 | Professional | None | $40.74 | $56.23 | $89.13 |
Cigna Setting Professional Modifier None Typical Low $42.66 Median $75.86 Typical High $89.13 | Professional | None | $42.66 | $75.86 | $89.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $46.77 Median $52.48 Typical High $363.08 | Professional | None | $46.77 | $52.48 | $363.08 |
United Setting Professional Modifier None Typical Low $44.67 Median $72.44 Typical High $131.83 | Professional | None | $44.67 | $72.44 | $131.83 |
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 $20.42 Median $20.89 Typical High $23.99 | Professional | 52 · Reduced service | $20.42 | $20.89 | $23.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $8.32 Typical High $9.55 | Professional | 53 · Discontinued | $8.32 | $8.32 | $9.55 |
Where Georgia sits
The same service costs 4.4 times more in Alaska than in Missouri. 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· 17th of 51
$58.88
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.