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 $11.22 Median $15.85 Typical High $33.88 | Facility | None | $11.22 | $15.85 | $33.88 |
Aetna Setting Professional Modifier None Typical Low $11.22 Median $14.79 Typical High $25.70 | Professional | None | $11.22 | $14.79 | $25.70 |
Ambetter Setting Professional Modifier None Typical Low $10.23 Median $10.23 Typical High $32.36 | Professional | None | $10.23 | $10.23 | $32.36 |
Anthem BCBS Setting Facility Modifier None Typical Low $14.45 Median $22.39 Typical High $57.54 | Facility | None | $14.45 | $22.39 | $57.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.25 Median $8.71 Typical High $32.36 | Professional | None | $5.25 | $8.71 | $32.36 |
CareSource Setting Facility Modifier None Typical Low $11.48 Median $11.48 Typical High $11.48 | Facility | None | $11.48 | $11.48 | $11.48 |
CareSource Setting Professional Modifier None Typical Low $10.96 Median $16.60 Typical High $16.60 | Professional | None | $10.96 | $16.60 | $16.60 |
Cigna Setting Facility Modifier None Typical Low $16.60 Median $37.15 Typical High $57.54 | Facility | None | $16.60 | $37.15 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $10.47 Median $12.02 Typical High $23.99 | Professional | None | $10.47 | $12.02 | $23.99 |
Kaiser Permanente Setting Professional Modifier None Typical Low $18.62 Median $25.12 Typical High $61.66 | Professional | None | $18.62 | $25.12 | $61.66 |
United Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
United Setting Professional Modifier None Typical Low $7.59 Median $12.30 Typical High $47.86 | Professional | None | $7.59 | $12.30 | $47.86 |
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 $5.62 Median $7.08 Typical High $8.13 | Professional | 52 · Reduced service | $5.62 | $7.08 | $8.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.24 Median $2.82 Typical High $3.24 | Professional | 53 · Discontinued | $2.24 | $2.82 | $3.24 |
Where Georgia sits
The same service costs 7.9 times more in Vermont than in Maryland. 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· 39th of 51
$14.79
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.