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 $3.80 Median $3.80 Typical High $10.72 | Facility | None | $3.80 | $3.80 | $10.72 |
Aetna Setting Professional Modifier None Typical Low $3.80 Median $4.57 Typical High $5.75 | Professional | None | $3.80 | $4.57 | $5.75 |
Ambetter Setting Professional Modifier None Typical Low $3.55 Median $3.55 Typical High $8.32 | Professional | None | $3.55 | $3.55 | $8.32 |
Anthem BCBS Setting Facility Modifier None Typical Low $4.90 Median $6.92 Typical High $19.95 | Facility | None | $4.90 | $6.92 | $19.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.55 Median $2.57 Typical High $9.77 | Professional | None | $1.55 | $2.57 | $9.77 |
CareSource Setting Facility Modifier None Typical Low $3.63 Median $3.63 Typical High $3.63 | Facility | None | $3.63 | $3.63 | $3.63 |
CareSource Setting Professional Modifier None Typical Low $3.72 Median $5.75 Typical High $5.75 | Professional | None | $3.72 | $5.75 | $5.75 |
Cigna Setting Facility Modifier None Typical Low $5.75 Median $12.59 Typical High $30.20 | Facility | None | $5.75 | $12.59 | $30.20 |
Cigna Setting Professional Modifier None Typical Low $3.09 Median $6.61 Typical High $8.71 | Professional | None | $3.09 | $6.61 | $8.71 |
Kaiser Permanente Setting Professional Modifier None Typical Low $6.31 Median $8.71 Typical High $18.62 | Professional | None | $6.31 | $8.71 | $18.62 |
United Setting Professional Modifier None Typical Low $2.40 Median $3.63 Typical High $12.02 | Professional | None | $2.40 | $3.63 | $12.02 |
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 $1.91 Median $2.29 Typical High $2.82 | Professional | 52 · Reduced service | $1.91 | $2.29 | $2.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.76 Median $0.91 Typical High $1.12 | Professional | 53 · Discontinued | $0.76 | $0.91 | $1.12 |
Where Georgia sits
The same service costs 3.2 times more in Kansas than in New Jersey. 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· 48th of 51
$4.47
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.