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 $2.88 Median $2.88 Typical High $7.94 | Facility | None | $2.88 | $2.88 | $7.94 |
Aetna Setting Professional Modifier None Typical Low $2.88 Median $3.63 Typical High $4.17 | Professional | None | $2.88 | $3.63 | $4.17 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.72 Median $5.75 Typical High $14.79 | Facility | None | $3.72 | $5.75 | $14.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.35 Median $2.14 Typical High $7.76 | Professional | None | $1.35 | $2.14 | $7.76 |
CareSource Setting Facility Modifier None Typical Low $2.88 Median $2.88 Typical High $2.88 | Facility | None | $2.88 | $2.88 | $2.88 |
Cigna Setting Facility Modifier None Typical Low $4.27 Median $9.55 Typical High $22.39 | Facility | None | $4.27 | $9.55 | $22.39 |
Cigna Setting Professional Modifier None Typical Low $2.57 Median $5.01 Typical High $6.76 | Professional | None | $2.57 | $5.01 | $6.76 |
Kaiser Permanente Setting Professional Modifier None Typical Low $4.79 Median $6.46 Typical High $15.49 | Professional | None | $4.79 | $6.46 | $15.49 |
United Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Facility | None | $15.14 | $15.14 | $15.14 |
United Setting Professional Modifier None Typical Low $1.95 Median $3.16 Typical High $9.12 | Professional | None | $1.95 | $3.16 | $9.12 |
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 $1.45 Median $1.82 Typical High $2.09 | Professional | 52 · Reduced service | $1.45 | $1.82 | $2.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.56 Median $0.72 Typical High $0.83 | Professional | 53 · Discontinued | $0.56 | $0.72 | $0.83 |
Where Georgia sits
The same service costs 3.3 times more in Kansas 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
$3.63
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.