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 $7.76 Median $7.76 Typical High $21.38 | Facility | None | $7.76 | $7.76 | $21.38 |
Aetna Setting Professional Modifier None Typical Low $7.76 Median $10.00 Typical High $20.42 | Professional | None | $7.76 | $10.00 | $20.42 |
Ambetter Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $16.60 | Professional | None | $7.08 | $7.08 | $16.60 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.00 Median $15.49 Typical High $39.81 | Facility | None | $10.00 | $15.49 | $39.81 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.63 Median $6.03 Typical High $22.39 | Professional | None | $3.63 | $6.03 | $22.39 |
CareSource Setting Facility Modifier None Typical Low $7.94 Median $7.94 Typical High $7.94 | Facility | None | $7.94 | $7.94 | $7.94 |
CareSource Setting Professional Modifier None Typical Low $7.59 Median $11.48 Typical High $11.48 | Professional | None | $7.59 | $11.48 | $11.48 |
Cigna Setting Facility Modifier None Typical Low $11.48 Median $25.70 Typical High $57.54 | Facility | None | $11.48 | $25.70 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $7.24 Median $13.18 Typical High $17.38 | Professional | None | $7.24 | $13.18 | $17.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $12.88 Median $17.38 Typical High $42.66 | Professional | None | $12.88 | $17.38 | $42.66 |
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 $5.25 Median $8.91 Typical High $24.55 | Professional | None | $5.25 | $8.91 | $24.55 |
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 $3.89 Median $4.90 Typical High $5.62 | Professional | 52 · Reduced service | $3.89 | $4.90 | $5.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.55 Median $1.95 Typical High $2.24 | Professional | 53 · Discontinued | $1.55 | $1.95 | $2.24 |
Where Georgia sits
The same service costs 4.4 times more in Alaska than in Kentucky. 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· 39th of 51
$10.23
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.