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 $12.59 Typical High $29.51 | Facility | None | $9.77 | $12.59 | $29.51 |
Aetna Setting Professional Modifier None Typical Low $9.77 Median $12.59 Typical High $25.70 | Professional | None | $9.77 | $12.59 | $25.70 |
Ambetter Setting Professional Modifier None Typical Low $8.91 Median $8.91 Typical High $20.89 | Professional | None | $8.91 | $8.91 | $20.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $12.59 Median $19.50 Typical High $50.12 | Facility | None | $12.59 | $19.50 | $50.12 |
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 $8.71 Median $8.71 Typical High $8.71 | Facility | None | $8.71 | $8.71 | $8.71 |
CareSource Setting Professional Modifier None Typical Low $9.55 Median $14.45 Typical High $14.45 | Professional | None | $9.55 | $14.45 | $14.45 |
Cigna Setting Facility Modifier None Typical Low $14.45 Median $32.36 Typical High $57.54 | Facility | None | $14.45 | $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 $21.88 Typical High $53.70 | Professional | None | $16.22 | $21.88 | $53.70 |
United Setting Facility Modifier None Typical Low $5.13 Median $5.13 Typical High $5.13 | Facility | None | $5.13 | $5.13 | $5.13 |
United Setting Professional Modifier None Typical Low $6.61 Median $10.23 Typical High $30.90 | Professional | None | $6.61 | $10.23 | $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 $4.79 Median $6.17 Typical High $7.08 | Professional | 52 · Reduced service | $4.79 | $6.17 | $7.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.95 Median $2.45 Typical High $2.82 | Professional | 53 · Discontinued | $1.95 | $2.45 | $2.82 |
Where Georgia sits
The same service costs 8.1 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· 37th of 51
$12.88
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.