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 $9.77 Median $14.13 Typical High $26.92 | Facility | None | $9.77 | $14.13 | $26.92 |
Aetna Setting Professional Modifier None Typical Low $9.77 Median $13.18 Typical High $25.70 | Professional | None | $9.77 | $13.18 | $25.70 |
Ambetter Setting Professional Modifier None Typical Low $8.91 Median $9.77 Typical High $23.99 | Professional | None | $8.91 | $9.77 | $23.99 |
Anthem BCBS Setting Facility Modifier None Typical Low $12.59 Median $19.50 Typical High $51.29 | Facility | None | $12.59 | $19.50 | $51.29 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.57 Median $8.32 Typical High $28.84 | Professional | None | $4.57 | $8.32 | $28.84 |
CareSource Setting Facility Modifier None Typical Low $10.00 Median $10.00 Typical High $10.00 | Facility | None | $10.00 | $10.00 | $10.00 |
CareSource Setting Professional Modifier None Typical Low $9.55 Median $14.79 Typical High $14.79 | Professional | None | $9.55 | $14.79 | $14.79 |
Cigna Setting Facility Modifier None Typical Low $14.79 Median $32.36 Typical High $57.54 | Facility | None | $14.79 | $32.36 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $8.91 Median $16.98 Typical High $22.39 | Professional | None | $8.91 | $16.98 | $22.39 |
Kaiser Permanente Setting Professional Modifier None Typical Low $16.22 Median $22.39 Typical High $54.95 | Professional | None | $16.22 | $22.39 | $54.95 |
United Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Facility | None | $44.67 | $44.67 | $44.67 |
United Setting Professional Modifier None Typical Low $6.17 Median $10.72 Typical High $30.90 | Professional | None | $6.17 | $10.72 | $30.90 |
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 $4.90 Median $6.17 Typical High $7.08 | Professional | 52 · Reduced service | $4.90 | $6.17 | $7.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.95 Median $2.51 Typical High $2.82 | Professional | 53 · Discontinued | $1.95 | $2.51 | $2.82 |
Where Georgia sits
The same service costs 7.9 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
$13.18
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.