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 $6.46 Median $6.46 Typical High $17.38 | Facility | None | $6.46 | $6.46 | $17.38 |
Aetna Setting Professional Modifier None Typical Low $6.46 Median $8.13 Typical High $10.23 | Professional | None | $6.46 | $8.13 | $10.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $6.31 Median $10.72 Typical High $33.88 | Facility | None | $6.31 | $10.72 | $33.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.45 Median $5.89 Typical High $12.30 | Professional | None | $2.45 | $5.89 | $12.30 |
CareSource Setting Facility Modifier None Typical Low $6.92 Median $6.92 Typical High $6.92 | Facility | None | $6.92 | $6.92 | $6.92 |
Cigna Setting Facility Modifier None Typical Low $12.59 Median $21.38 Typical High $57.54 | Facility | None | $12.59 | $21.38 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $5.75 Median $5.75 Typical High $12.59 | Professional | None | $5.75 | $5.75 | $12.59 |
Kaiser Permanente Setting Professional Modifier None Typical Low $9.77 Median $19.05 Typical High $33.11 | Professional | None | $9.77 | $19.05 | $33.11 |
United Setting Professional Modifier None Typical Low $5.89 Median $10.00 Typical High $17.38 | Professional | None | $5.89 | $10.00 | $17.38 |
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 $3.24 Median $3.80 Typical High $4.68 | Professional | 52 · Reduced service | $3.24 | $3.80 | $4.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.29 Median $1.51 Typical High $1.86 | Professional | 53 · Discontinued | $1.29 | $1.51 | $1.86 |
Where Georgia sits
The same service costs 2.3 times more in Alaska than in Florida. 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· 41st of 51
$8.32
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.