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 $10.00 Median $10.00 Typical High $26.92 | Facility | None | $10.00 | $10.00 | $26.92 |
Aetna Setting Professional Modifier None Typical Low $10.00 Median $13.18 Typical High $25.12 | Professional | None | $10.00 | $13.18 | $25.12 |
Ambetter Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $34.67 | Professional | None | $18.62 | $18.62 | $34.67 |
Anthem BCBS Setting Facility Modifier None Typical Low $11.75 Median $18.62 Typical High $64.57 | Facility | None | $11.75 | $18.62 | $64.57 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.72 Median $5.89 Typical High $12.88 | Professional | None | $3.72 | $5.89 | $12.88 |
CareSource Setting Facility Modifier None Typical Low $10.72 Median $10.72 Typical High $10.72 | Facility | None | $10.72 | $10.72 | $10.72 |
Cigna Setting Facility Modifier None Typical Low $20.89 Median $38.90 Typical High $57.54 | Facility | None | $20.89 | $38.90 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $8.91 Median $8.91 Typical High $23.44 | Professional | None | $8.91 | $8.91 | $23.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $18.62 Median $27.54 Typical High $28.18 | Professional | None | $18.62 | $27.54 | $28.18 |
United Setting Professional Modifier None Typical Low $5.89 Median $10.72 Typical High $30.90 | Professional | None | $5.89 | $10.72 | $30.90 |
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 $5.01 Median $6.61 Typical High $7.24 | Professional | 52 · Reduced service | $5.01 | $6.61 | $7.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.00 Median $2.63 Typical High $2.88 | Professional | 53 · Discontinued | $2.00 | $2.63 | $2.88 |
Where Georgia sits
The same service costs 4.8 times more in Montana than in Kentucky. 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· 50th of 51
$6.17
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.