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 $3.31 Median $4.68 Typical High $10.23 | Facility | None | $3.31 | $4.68 | $10.23 |
Aetna Setting Professional Modifier None Typical Low $3.31 Median $4.47 Typical High $8.71 | Professional | None | $3.31 | $4.47 | $8.71 |
Ambetter Setting Professional Modifier None Typical Low $3.09 Median $3.31 Typical High $7.24 | Professional | None | $3.09 | $3.31 | $7.24 |
Anthem BCBS Setting Facility Modifier None Typical Low $4.47 Median $6.76 Typical High $17.38 | Facility | None | $4.47 | $6.76 | $17.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.55 Median $3.72 Typical High $9.77 | Professional | None | $1.55 | $3.72 | $9.77 |
CareSource Setting Facility Modifier None Typical Low $3.39 Median $3.39 Typical High $3.39 | Facility | None | $3.39 | $3.39 | $3.39 |
CareSource Setting Professional Modifier None Typical Low $3.24 Median $5.01 Typical High $5.01 | Professional | None | $3.24 | $5.01 | $5.01 |
Cigna Setting Facility Modifier None Typical Low $5.01 Median $10.96 Typical High $26.30 | Facility | None | $5.01 | $10.96 | $26.30 |
Cigna Setting Professional Modifier None Typical Low $3.09 Median $3.63 Typical High $7.76 | Professional | None | $3.09 | $3.63 | $7.76 |
Kaiser Permanente Setting Professional Modifier None Typical Low $5.50 Median $7.59 Typical High $18.62 | Professional | None | $5.50 | $7.59 | $18.62 |
United Setting Facility Modifier None Typical Low $1.58 Median $1.58 Typical High $1.58 | Facility | None | $1.58 | $1.58 | $1.58 |
United Setting Professional Modifier None Typical Low $2.24 Median $3.63 Typical High $10.47 | Professional | None | $2.24 | $3.63 | $10.47 |
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 $1.66 Median $2.14 Typical High $2.45 | Professional | 52 · Reduced service | $1.66 | $2.14 | $2.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.68 Median $0.85 Typical High $0.98 | Professional | 53 · Discontinued | $0.68 | $0.85 | $0.98 |
Where Georgia sits
The same service costs 8.9 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· 41st of 51
$4.68
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.