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 $15.14 Median $15.14 Typical High $40.74 | Facility | None | $15.14 | $15.14 | $40.74 |
Aetna Setting Professional Modifier None Typical Low $15.14 Median $17.78 Typical High $21.88 | Professional | None | $15.14 | $17.78 | $21.88 |
Ambetter Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $33.11 | Professional | None | $14.13 | $14.13 | $33.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $18.20 Median $26.30 Typical High $79.43 | Facility | None | $18.20 | $26.30 | $79.43 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.75 Median $10.23 Typical High $22.91 | Professional | None | $5.75 | $10.23 | $22.91 |
CareSource Setting Facility Modifier None Typical Low $22.91 Median $22.91 Typical High $22.91 | Facility | None | $22.91 | $22.91 | $22.91 |
CareSource Setting Professional Modifier None Typical Low $14.79 Median $22.91 Typical High $22.91 | Professional | None | $14.79 | $22.91 | $22.91 |
Cigna Setting Facility Modifier None Typical Low $22.91 Median $50.12 Typical High $69.18 | Facility | None | $22.91 | $50.12 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $10.47 Median $28.18 Typical High $35.48 | Professional | None | $10.47 | $28.18 | $35.48 |
Kaiser Permanente Setting Professional Modifier None Typical Low $25.12 Median $34.67 Typical High $107.15 | Professional | None | $25.12 | $34.67 | $107.15 |
United Setting Professional Modifier None Typical Low $9.55 Median $13.80 Typical High $47.86 | Professional | None | $9.55 | $13.80 | $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 $7.59 Median $8.91 Typical High $10.96 | Professional | 52 · Reduced service | $7.59 | $8.91 | $10.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.09 Median $3.55 Typical High $4.37 | Professional | 53 · Discontinued | $3.09 | $3.55 | $4.37 |
Where Georgia sits
The same service costs 9.8 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· 38th of 51
$18.20
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.