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 $7.08 Median $10.23 Typical High $19.05 | Facility | None | $7.08 | $10.23 | $19.05 |
Aetna Setting Professional Modifier None Typical Low $7.08 Median $9.55 Typical High $23.99 | Professional | None | $7.08 | $9.55 | $23.99 |
Ambetter Setting Professional Modifier None Typical Low $6.61 Median $6.61 Typical High $15.49 | Professional | None | $6.61 | $6.61 | $15.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $9.33 Median $14.45 Typical High $37.15 | Facility | None | $9.33 | $14.45 | $37.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.31 Median $5.25 Typical High $24.55 | Professional | None | $3.31 | $5.25 | $24.55 |
CareSource Setting Facility Modifier None Typical Low $7.08 Median $7.08 Typical High $10.00 | Facility | None | $7.08 | $7.08 | $10.00 |
CareSource Setting Professional Modifier None Typical Low $6.92 Median $10.72 Typical High $10.72 | Professional | None | $6.92 | $10.72 | $10.72 |
Cigna Setting Facility Modifier None Typical Low $10.72 Median $23.44 Typical High $57.54 | Facility | None | $10.72 | $23.44 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $15.49 Median $16.60 Typical High $41.69 | Professional | None | $15.49 | $16.60 | $41.69 |
Kaiser Permanente Setting Professional Modifier None Typical Low $11.75 Median $16.22 Typical High $39.81 | Professional | None | $11.75 | $16.22 | $39.81 |
United Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
United Setting Professional Modifier None Typical Low $4.79 Median $7.24 Typical High $22.91 | Professional | None | $4.79 | $7.24 | $22.91 |
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 $3.55 Median $4.47 Typical High $5.25 | Professional | 52 · Reduced service | $3.55 | $4.47 | $5.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.45 Median $1.82 Typical High $2.09 | Professional | 53 · Discontinued | $1.45 | $1.82 | $2.09 |
Where Georgia sits
The same service costs 7.9 times more in Vermont than in Washington, DC. 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· 47th of 51
$10.00
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.