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 $14.13 Median $14.13 Typical High $32.36 | Facility | None | $14.13 | $14.13 | $32.36 |
Aetna Setting Professional Modifier None Typical Low $14.13 Median $18.20 Typical High $32.36 | Professional | None | $14.13 | $18.20 | $32.36 |
Ambetter Setting Professional Modifier None Typical Low $10.47 Median $12.88 Typical High $40.74 | Professional | None | $10.47 | $12.88 | $40.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $16.98 Median $23.99 Typical High $72.44 | Facility | None | $16.98 | $23.99 | $72.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.37 Median $9.55 Typical High $30.90 | Professional | None | $5.37 | $9.55 | $30.90 |
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 $13.80 Median $20.89 Typical High $20.89 | Professional | None | $13.80 | $20.89 | $20.89 |
Cigna Setting Facility Modifier None Typical Low $20.89 Median $46.77 Typical High $64.57 | Facility | None | $20.89 | $46.77 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $9.55 Median $24.55 Typical High $32.36 | Professional | None | $9.55 | $24.55 | $32.36 |
Kaiser Permanente Setting Professional Modifier None Typical Low $23.44 Median $31.62 Typical High $57.54 | Professional | None | $23.44 | $31.62 | $57.54 |
United Setting Professional Modifier None Typical Low $8.91 Median $12.59 Typical High $44.67 | Professional | None | $8.91 | $12.59 | $44.67 |
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 $7.08 Median $8.51 Typical High $10.23 | Professional | 52 · Reduced service | $7.08 | $8.51 | $10.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.82 Median $3.39 Typical High $4.07 | Professional | 53 · Discontinued | $2.82 | $3.39 | $4.07 |
Where Georgia sits
The same service costs 6.6 times more in Vermont than in Kentucky. 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· 45th of 51
$16.22
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.