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 $1.45 Median $1.45 Typical High $3.98 | Facility | None | $1.45 | $1.45 | $3.98 |
Aetna Setting Professional Modifier None Typical Low $1.45 Median $1.91 Typical High $3.80 | Professional | None | $1.45 | $1.91 | $3.80 |
Ambetter Setting Professional Modifier None Typical Low $1.82 Median $1.82 Typical High $4.17 | Professional | None | $1.82 | $1.82 | $4.17 |
Anthem BCBS Setting Facility Modifier None Typical Low $1.91 Median $2.88 Typical High $7.59 | Facility | None | $1.91 | $2.88 | $7.59 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.68 Median $1.58 Typical High $4.37 | Professional | None | $0.68 | $1.58 | $4.37 |
CareSource Setting Facility Modifier None Typical Low $1.29 Median $1.29 Typical High $1.29 | Facility | None | $1.29 | $1.29 | $1.29 |
Cigna Setting Facility Modifier None Typical Low $2.19 Median $4.79 Typical High $11.22 | Facility | None | $2.19 | $4.79 | $11.22 |
Cigna Setting Professional Modifier None Typical Low $1.38 Median $2.45 Typical High $3.09 | Professional | None | $1.38 | $2.45 | $3.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2.40 Median $3.24 Typical High $6.31 | Professional | None | $2.40 | $3.24 | $6.31 |
United Setting Facility Modifier None Typical Low $6.03 Median $6.03 Typical High $6.03 | Facility | None | $6.03 | $6.03 | $6.03 |
United Setting Professional Modifier None Typical Low $1.29 Median $2.95 Typical High $3.89 | Professional | None | $1.29 | $2.95 | $3.89 |
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 $0.72 Median $0.91 Typical High $1.05 | Professional | 52 · Reduced service | $0.72 | $0.91 | $1.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.28 Median $0.35 Typical High $0.43 | Professional | 53 · Discontinued | $0.28 | $0.35 | $0.43 |
Where Georgia sits
The same service costs 3.2 times more in Kansas 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· 29th of 51
$2.24
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.