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 $14.45 Median $19.95 Typical High $44.67 | Facility | None | $14.45 | $19.95 | $44.67 |
Aetna Setting Professional Modifier None Typical Low $14.45 Median $19.95 Typical High $38.02 | Professional | None | $14.45 | $19.95 | $38.02 |
Ambetter Setting Professional Modifier None Typical Low $13.18 Median $14.79 Typical High $41.69 | Professional | None | $13.18 | $14.79 | $41.69 |
Anthem BCBS Setting Facility Modifier None Typical Low $18.62 Median $28.84 Typical High $75.86 | Facility | None | $18.62 | $28.84 | $75.86 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.76 Median $12.30 Typical High $42.66 | Professional | None | $6.76 | $12.30 | $42.66 |
CareSource Setting Facility Modifier None Typical Low $14.79 Median $14.79 Typical High $14.79 | Facility | None | $14.79 | $14.79 | $14.79 |
CareSource Setting Professional Modifier None Typical Low $14.13 Median $21.88 Typical High $21.88 | Professional | None | $14.13 | $21.88 | $21.88 |
Cigna Setting Facility Modifier None Typical Low $21.88 Median $47.86 Typical High $66.07 | Facility | None | $21.88 | $47.86 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $13.49 Median $24.55 Typical High $33.11 | Professional | None | $13.49 | $24.55 | $33.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $23.99 Median $33.11 Typical High $81.28 | Professional | None | $23.99 | $33.11 | $81.28 |
United Setting Professional Modifier None Typical Low $9.12 Median $15.85 Typical High $45.71 | Professional | None | $9.12 | $15.85 | $45.71 |
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 $7.24 Median $9.12 Typical High $10.47 | Professional | 52 · Reduced service | $7.24 | $9.12 | $10.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.88 Median $3.63 Typical High $4.27 | Professional | 53 · Discontinued | $2.88 | $3.63 | $4.27 |
Where Georgia sits
The same service costs 4.8 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
$19.50
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.