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 $2.75 Median $2.75 Typical High $3.63 | Facility | None | $2.75 | $2.75 | $3.63 |
Aetna Setting Professional Modifier None Typical Low $2.69 Median $2.82 Typical High $7.24 | Professional | None | $2.69 | $2.82 | $7.24 |
Ambetter Setting Professional Modifier None Typical Low $5.75 Median $8.51 Typical High $8.51 | Professional | None | $5.75 | $8.51 | $8.51 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.88 Median $4.47 Typical High $19.95 | Professional | None | $2.88 | $4.47 | $19.95 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.32 Median $0.44 Typical High $2.00 | Professional | RR · Rental | $0.32 | $0.44 | $2.00 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2.40 Median $3.31 Typical High $15.14 | Professional | UE · Used equipment | $2.40 | $3.31 | $15.14 |
CareSource Setting Facility Modifier None Typical Low $3.72 Median $3.72 Typical High $3.72 | Facility | None | $3.72 | $3.72 | $3.72 |
CareSource Setting Professional Modifier None Typical Low $3.72 Median $3.72 Typical High $5.01 | Professional | None | $3.72 | $3.72 | $5.01 |
Cigna Setting Professional Modifier None Typical Low $1.82 Median $1.82 Typical High $5.89 | Professional | None | $1.82 | $1.82 | $5.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $4.47 Median $4.47 Typical High $18.62 | Professional | None | $4.47 | $4.47 | $18.62 |
Oscar Health Setting Professional Modifier None Typical Low $6.03 Median $6.03 Typical High $6.03 | Professional | None | $6.03 | $6.03 | $6.03 |
United Setting Professional Modifier None Typical Low $1.45 Median $2.34 Typical High $6.76 | Professional | None | $1.45 | $2.34 | $6.76 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier KX · Policy requirements met Typical Low $4.68 Median $4.68 Typical High $4.68 | Professional | KX · Policy requirements met | $4.68 | $4.68 | $4.68 |
Where Georgia sits
The same service costs 2.6 times more in Hawaii than in California. 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· 13th of 51
$3.98
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.