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 $12.59 Median $17.38 Typical High $34.67 | Facility | None | $12.59 | $17.38 | $34.67 |
Aetna Setting Professional Modifier None Typical Low $12.59 Median $16.22 Typical High $18.62 | Professional | None | $12.59 | $16.22 | $18.62 |
Ambetter Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $26.92 | Professional | None | $11.48 | $11.48 | $26.92 |
Anthem BCBS Setting Facility Modifier None Typical Low $16.22 Median $25.12 Typical High $64.57 | Facility | None | $16.22 | $25.12 | $64.57 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.89 Median $10.72 Typical High $37.15 | Professional | None | $5.89 | $10.72 | $37.15 |
CareSource Setting Facility Modifier None Typical Low $12.88 Median $12.88 Typical High $12.88 | Facility | None | $12.88 | $12.88 | $12.88 |
CareSource Setting Professional Modifier None Typical Low $12.30 Median $18.62 Typical High $18.62 | Professional | None | $12.30 | $18.62 | $18.62 |
Cigna Setting Facility Modifier None Typical Low $18.62 Median $41.69 Typical High $57.54 | Facility | None | $18.62 | $41.69 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $11.48 Median $21.38 Typical High $28.18 | Professional | None | $11.48 | $21.38 | $28.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $20.89 Median $28.18 Typical High $69.18 | Professional | None | $20.89 | $28.18 | $69.18 |
United Setting Professional Modifier None Typical Low $8.51 Median $15.14 Typical High $39.81 | Professional | None | $8.51 | $15.14 | $39.81 |
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 $6.31 Median $7.94 Typical High $9.12 | Professional | 52 · Reduced service | $6.31 | $7.94 | $9.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.51 Median $3.16 Typical High $3.63 | Professional | 53 · Discontinued | $2.51 | $3.16 | $3.63 |
Where Georgia sits
The same service costs 10.0 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· 38th of 51
$16.60
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.