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 $2.51 Median $3.63 Typical High $7.08 | Facility | None | $2.51 | $3.63 | $7.08 |
Aetna Setting Professional Modifier None Typical Low $2.51 Median $3.16 Typical High $4.07 | Professional | None | $2.51 | $3.16 | $4.07 |
Ambetter Setting Professional Modifier None Typical Low $5.50 Median $5.50 Typical High $5.50 | Professional | None | $5.50 | $5.50 | $5.50 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.31 Median $4.79 Typical High $13.18 | Facility | None | $3.31 | $4.79 | $13.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.07 Median $3.80 Typical High $6.92 | Professional | None | $1.07 | $3.80 | $6.92 |
CareSource Setting Facility Modifier None Typical Low $2.57 Median $2.57 Typical High $2.57 | Facility | None | $2.57 | $2.57 | $2.57 |
CareSource Setting Professional Modifier None Typical Low $2.45 Median $3.80 Typical High $3.80 | Professional | None | $2.45 | $3.80 | $3.80 |
Cigna Setting Facility Modifier None Typical Low $3.80 Median $8.32 Typical High $20.42 | Facility | None | $3.80 | $8.32 | $20.42 |
Cigna Setting Professional Modifier None Typical Low $2.14 Median $2.40 Typical High $5.62 | Professional | None | $2.14 | $2.40 | $5.62 |
Kaiser Permanente Setting Professional Modifier None Typical Low $4.17 Median $5.75 Typical High $12.30 | Professional | None | $4.17 | $5.75 | $12.30 |
United Setting Facility Modifier None Typical Low $7.59 Median $7.59 Typical High $7.59 | Facility | None | $7.59 | $7.59 | $7.59 |
United Setting Professional Modifier None Typical Low $1.70 Median $2.51 Typical High $7.94 | Professional | None | $1.70 | $2.51 | $7.94 |
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 $1.26 Median $1.51 Typical High $1.86 | Professional | 52 · Reduced service | $1.26 | $1.51 | $1.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.51 Median $0.62 Typical High $0.74 | Professional | 53 · Discontinued | $0.51 | $0.62 | $0.74 |
Where Georgia sits
The same service costs 11.7 times more in Minnesota 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· 30th of 51
$3.80
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.