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 $8.51 Median $12.30 Typical High $26.92 | Facility | None | $8.51 | $12.30 | $26.92 |
Aetna Setting Professional Modifier None Typical Low $8.51 Median $11.22 Typical High $22.39 | Professional | None | $8.51 | $11.22 | $22.39 |
Ambetter Setting Professional Modifier None Typical Low $7.94 Median $7.94 Typical High $18.62 | Professional | None | $7.94 | $7.94 | $18.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $11.22 Median $17.38 Typical High $44.67 | Facility | None | $11.22 | $17.38 | $44.67 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.98 Median $6.31 Typical High $25.12 | Professional | None | $3.98 | $6.31 | $25.12 |
CareSource Setting Facility Modifier None Typical Low $8.71 Median $8.71 Typical High $8.71 | Facility | None | $8.71 | $8.71 | $8.71 |
CareSource Setting Professional Modifier None Typical Low $8.32 Median $12.88 Typical High $12.88 | Professional | None | $8.32 | $12.88 | $12.88 |
Cigna Setting Facility Modifier None Typical Low $12.88 Median $28.18 Typical High $57.54 | Facility | None | $12.88 | $28.18 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $7.94 Median $14.79 Typical High $19.50 | Professional | None | $7.94 | $14.79 | $19.50 |
Kaiser Permanente Setting Professional Modifier None Typical Low $14.13 Median $19.50 Typical High $47.86 | Professional | None | $14.13 | $19.50 | $47.86 |
United Setting Facility Modifier None Typical Low $4.47 Median $4.47 Typical High $4.47 | Facility | None | $4.47 | $4.47 | $4.47 |
United Setting Professional Modifier None Typical Low $5.75 Median $10.47 Typical High $26.92 | Professional | None | $5.75 | $10.47 | $26.92 |
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 $4.27 Median $5.37 Typical High $6.31 | Professional | 52 · Reduced service | $4.27 | $5.37 | $6.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.74 Median $2.19 Typical High $2.51 | Professional | 53 · Discontinued | $1.74 | $2.19 | $2.51 |
Where Georgia sits
The same service costs 3.1 times more in Kansas 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
$11.22
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.