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 $6.03 Median $8.71 Typical High $17.78 | Facility | None | $6.03 | $8.71 | $17.78 |
Aetna Setting Professional Modifier None Typical Low $6.03 Median $8.32 Typical High $17.78 | Professional | None | $6.03 | $8.32 | $17.78 |
Ambetter Setting Professional Modifier None Typical Low $4.47 Median $5.50 Typical High $12.88 | Professional | None | $4.47 | $5.50 | $12.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $7.76 Median $12.02 Typical High $30.90 | Facility | None | $7.76 | $12.02 | $30.90 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.82 Median $5.13 Typical High $17.38 | Professional | None | $2.82 | $5.13 | $17.38 |
CareSource Setting Facility Modifier None Typical Low $6.17 Median $6.17 Typical High $6.17 | Facility | None | $6.17 | $6.17 | $6.17 |
CareSource Setting Professional Modifier None Typical Low $5.89 Median $9.12 Typical High $9.12 | Professional | None | $5.89 | $9.12 | $9.12 |
Cigna Setting Facility Modifier None Typical Low $9.12 Median $19.95 Typical High $48.98 | Facility | None | $9.12 | $19.95 | $48.98 |
Cigna Setting Professional Modifier None Typical Low $5.50 Median $10.23 Typical High $13.80 | Professional | None | $5.50 | $10.23 | $13.80 |
Kaiser Permanente Setting Professional Modifier None Typical Low $10.00 Median $13.49 Typical High $33.11 | Professional | None | $10.00 | $13.49 | $33.11 |
United Setting Professional Modifier None Typical Low $4.57 Median $6.61 Typical High $19.05 | Professional | None | $4.57 | $6.61 | $19.05 |
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 $3.02 Median $3.80 Typical High $4.37 | Professional | 52 · Reduced service | $3.02 | $3.80 | $4.37 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.20 Median $1.51 Typical High $1.74 | Professional | 53 · Discontinued | $1.20 | $1.51 | $1.74 |
Where Georgia sits
The same service costs 10.7 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· 44th of 51
$7.59
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.