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 $3.31 Median $3.31 Typical High $4.79 | Facility | None | $3.31 | $3.31 | $4.79 |
Aetna Setting Professional Modifier None Typical Low $3.31 Median $4.37 Typical High $8.32 | Professional | None | $3.31 | $4.37 | $8.32 |
Anthem BCBS Setting Facility Modifier None Typical Low $5.01 Median $12.02 Typical High $41.69 | Facility | None | $5.01 | $12.02 | $41.69 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.26 Median $2.00 Typical High $77.62 | Professional | None | $1.26 | $2.00 | $77.62 |
CareSource Setting Facility Modifier None Typical Low $2.75 Median $2.75 Typical High $2.75 | Facility | None | $2.75 | $2.75 | $2.75 |
Cigna Setting Facility Modifier None Typical Low $8.13 Median $23.99 Typical High $33.11 | Facility | None | $8.13 | $23.99 | $33.11 |
Cigna Setting Professional Modifier None Typical Low $2.63 Median $2.63 Typical High $14.45 | Professional | None | $2.63 | $2.63 | $14.45 |
Kaiser Permanente Setting Professional Modifier None Typical Low $11.22 Median $19.95 Typical High $87.10 | Professional | None | $11.22 | $19.95 | $87.10 |
United Setting Professional Modifier None Typical Low $2.40 Median $3.02 Typical High $22.91 | Professional | None | $2.40 | $3.02 | $22.91 |
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 $1.66 Median $2.19 Typical High $4.37 | Professional | 52 · Reduced service | $1.66 | $2.19 | $4.37 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.68 Median $0.87 Typical High $1.74 | Professional | 53 · Discontinued | $0.68 | $0.87 | $1.74 |
Where Georgia sits
The same service costs 5.2 times more in Montana than in West Virginia. 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· 46th of 51
$3.31
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.