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 $2.00 Median $2.00 Typical High $5.62 | Facility | None | $2.00 | $2.00 | $5.62 |
Aetna Setting Professional Modifier None Typical Low $2.00 Median $2.63 Typical High $5.25 | Professional | None | $2.00 | $2.63 | $5.25 |
Ambetter Setting Professional Modifier None Typical Low $1.86 Median $1.86 Typical High $1.86 | Professional | None | $1.86 | $1.86 | $1.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $2.63 Median $4.07 Typical High $10.47 | Facility | None | $2.63 | $4.07 | $10.47 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.93 Median $1.70 Typical High $6.03 | Professional | None | $0.93 | $1.70 | $6.03 |
CareSource Setting Facility Modifier None Typical Low $2.04 Median $2.04 Typical High $2.04 | Facility | None | $2.04 | $2.04 | $2.04 |
CareSource Setting Professional Modifier None Typical Low $1.95 Median $3.02 Typical High $3.02 | Professional | None | $1.95 | $3.02 | $3.02 |
Cigna Setting Facility Modifier None Typical Low $3.02 Median $6.61 Typical High $16.98 | Facility | None | $3.02 | $6.61 | $16.98 |
Cigna Setting Professional Modifier None Typical Low $1.82 Median $3.31 Typical High $4.68 | Professional | None | $1.82 | $3.31 | $4.68 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3.31 Median $4.57 Typical High $11.22 | Professional | None | $3.31 | $4.57 | $11.22 |
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 $1.26 Median $2.19 Typical High $6.31 | Professional | None | $1.26 | $2.19 | $6.31 |
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 $1.00 Median $1.29 Typical High $1.48 | Professional | 52 · Reduced service | $1.00 | $1.29 | $1.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.40 Median $0.48 Typical High $0.60 | Professional | 53 · Discontinued | $0.40 | $0.48 | $0.60 |
Where Georgia sits
The same service costs 3.4 times more in Alaska 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
$2.63
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.