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 $10.72 Median $15.49 Typical High $33.11 | Facility | None | $10.72 | $15.49 | $33.11 |
Aetna Setting Professional Modifier None Typical Low $10.96 Median $14.79 Typical High $28.18 | Professional | None | $10.96 | $14.79 | $28.18 |
Ambetter Setting Professional Modifier None Typical Low $10.00 Median $11.22 Typical High $30.90 | Professional | None | $10.00 | $11.22 | $30.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $14.13 Median $21.88 Typical High $56.23 | Facility | None | $14.13 | $21.88 | $56.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.13 Median $9.33 Typical High $31.62 | Professional | None | $5.13 | $9.33 | $31.62 |
CareSource Setting Facility Modifier None Typical Low $11.22 Median $11.22 Typical High $11.22 | Facility | None | $11.22 | $11.22 | $11.22 |
CareSource Setting Professional Modifier None Typical Low $10.72 Median $16.22 Typical High $16.22 | Professional | None | $10.72 | $16.22 | $16.22 |
Cigna Setting Facility Modifier None Typical Low $16.22 Median $35.48 Typical High $57.54 | Facility | None | $16.22 | $35.48 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $10.00 Median $18.62 Typical High $24.55 | Professional | None | $10.00 | $18.62 | $24.55 |
Kaiser Permanente Setting Professional Modifier None Typical Low $17.78 Median $24.55 Typical High $60.26 | Professional | None | $17.78 | $24.55 | $60.26 |
United Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
United Setting Professional Modifier None Typical Low $7.41 Median $13.49 Typical High $33.88 | Professional | None | $7.41 | $13.49 | $33.88 |
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 $5.37 Median $6.92 Typical High $7.94 | Professional | 52 · Reduced service | $5.37 | $6.92 | $7.94 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.19 Median $2.75 Typical High $3.16 | Professional | 53 · Discontinued | $2.19 | $2.75 | $3.16 |
Where Georgia sits
The same service costs 8.5 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.