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 $2.69 Median $3.72 Typical High $7.08 | Facility | None | $2.69 | $3.72 | $7.08 |
Aetna Setting Professional Modifier None Typical Low $2.69 Median $3.72 Typical High $7.08 | Professional | None | $2.69 | $3.72 | $7.08 |
Ambetter Setting Professional Modifier None Typical Low $2.00 Median $2.04 Typical High $4.57 | Professional | None | $2.00 | $2.04 | $4.57 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.24 Median $4.57 Typical High $13.80 | Facility | None | $3.24 | $4.57 | $13.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.00 Median $2.75 Typical High $6.31 | Professional | None | $1.00 | $2.75 | $6.31 |
CareSource Setting Facility Modifier None Typical Low $2.34 Median $2.34 Typical High $2.34 | Facility | None | $2.34 | $2.34 | $2.34 |
CareSource Setting Professional Modifier None Typical Low $2.63 Median $3.98 Typical High $3.98 | Professional | None | $2.63 | $3.98 | $3.98 |
Cigna Setting Facility Modifier None Typical Low $3.98 Median $8.91 Typical High $22.39 | Facility | None | $3.98 | $8.91 | $22.39 |
Cigna Setting Professional Modifier None Typical Low $2.00 Median $3.55 Typical High $6.17 | Professional | None | $2.00 | $3.55 | $6.17 |
Kaiser Permanente Setting Professional Modifier None Typical Low $4.47 Median $6.03 Typical High $22.39 | Professional | None | $4.47 | $6.03 | $22.39 |
United Setting Facility Modifier None Typical Low $8.91 Median $8.91 Typical High $8.91 | Facility | None | $8.91 | $8.91 | $8.91 |
United Setting Professional Modifier None Typical Low $2.40 Median $4.47 Typical High $7.24 | Professional | None | $2.40 | $4.47 | $7.24 |
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 $1.35 Median $1.62 Typical High $1.95 | Professional | 52 · Reduced service | $1.35 | $1.62 | $1.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.52 Median $0.65 Typical High $0.78 | Professional | 53 · Discontinued | $0.52 | $0.65 | $0.78 |
Where Georgia sits
The same service costs 2.8 times more in Alaska than in North Carolina. 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· 35th of 51
$3.89
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.