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 $18.62 Median $26.92 Typical High $57.54 | Facility | None | $18.62 | $26.92 | $57.54 |
Aetna Setting Professional Modifier None Typical Low $18.62 Median $25.70 Typical High $48.98 | Professional | None | $18.62 | $25.70 | $48.98 |
Ambetter Setting Professional Modifier None Typical Low $16.98 Median $18.62 Typical High $45.71 | Professional | None | $16.98 | $18.62 | $45.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $24.55 Median $37.15 Typical High $97.72 | Facility | None | $24.55 | $37.15 | $97.72 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.71 Median $16.98 Typical High $56.23 | Professional | None | $8.71 | $16.98 | $56.23 |
CareSource Setting Facility Modifier None Typical Low $19.05 Median $19.05 Typical High $19.05 | Facility | None | $19.05 | $19.05 | $19.05 |
CareSource Setting Professional Modifier None Typical Low $18.20 Median $28.18 Typical High $28.18 | Professional | None | $18.20 | $28.18 | $28.18 |
Cigna Setting Facility Modifier None Typical Low $28.18 Median $61.66 Typical High $85.11 | Facility | None | $28.18 | $61.66 | $85.11 |
Cigna Setting Professional Modifier None Typical Low $17.38 Median $31.62 Typical High $42.66 | Professional | None | $17.38 | $31.62 | $42.66 |
Kaiser Permanente Setting Professional Modifier None Typical Low $30.90 Median $41.69 Typical High $102.33 | Professional | None | $30.90 | $41.69 | $102.33 |
United Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
United Setting Professional Modifier None Typical Low $12.59 Median $22.91 Typical High $79.43 | Professional | None | $12.59 | $22.91 | $79.43 |
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 $9.33 Median $11.75 Typical High $13.49 | Professional | 52 · Reduced service | $9.33 | $11.75 | $13.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.72 Median $4.68 Typical High $5.37 | Professional | 53 · Discontinued | $3.72 | $4.68 | $5.37 |
Where Georgia sits
The same service costs 7.8 times more in Vermont than in Alabama. 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· 35th of 51
$26.30
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.