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 $2.09 Median $3.02 Typical High $6.17 | Facility | None | $2.09 | $3.02 | $6.17 |
Aetna Setting Professional Modifier None Typical Low $2.09 Median $2.95 Typical High $6.92 | Professional | None | $2.09 | $2.95 | $6.92 |
Ambetter Setting Professional Modifier None Typical Low $1.58 Median $1.95 Typical High $4.79 | Professional | None | $1.58 | $1.95 | $4.79 |
Anthem BCBS Setting Facility Modifier None Typical Low $2.82 Median $4.27 Typical High $10.96 | Facility | None | $2.82 | $4.27 | $10.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.98 Median $2.34 Typical High $6.17 | Professional | None | $0.98 | $2.34 | $6.17 |
CareSource Setting Facility Modifier None Typical Low $1.86 Median $1.86 Typical High $1.86 | Facility | None | $1.86 | $1.86 | $1.86 |
CareSource Setting Professional Modifier None Typical Low $2.04 Median $3.16 Typical High $3.16 | Professional | None | $2.04 | $3.16 | $3.16 |
Cigna Setting Facility Modifier None Typical Low $3.16 Median $6.92 Typical High $16.98 | Facility | None | $3.16 | $6.92 | $16.98 |
Cigna Setting Professional Modifier None Typical Low $1.82 Median $3.55 Typical High $4.68 | Professional | None | $1.82 | $3.55 | $4.68 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3.47 Median $4.79 Typical High $9.33 | Professional | None | $3.47 | $4.79 | $9.33 |
United Setting Facility Modifier None Typical Low $1.12 Median $1.12 Typical High $1.12 | Facility | None | $1.12 | $1.12 | $1.12 |
United Setting Professional Modifier None Typical Low $1.91 Median $4.37 Typical High $6.46 | Professional | None | $1.91 | $4.37 | $6.46 |
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 $1.07 Median $1.32 Typical High $1.55 | Professional | 52 · Reduced service | $1.07 | $1.32 | $1.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.42 Median $0.52 Typical High $0.62 | Professional | 53 · Discontinued | $0.42 | $0.52 | $0.62 |
Where Georgia sits
The same service costs 22.4 times more in Minnesota than in Washington, DC. 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
$3.16
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.