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 $3.98 Median $5.75 Typical High $12.30 | Facility | None | $3.98 | $5.75 | $12.30 |
Aetna Setting Professional Modifier None Typical Low $3.98 Median $5.37 Typical High $10.47 | Professional | None | $3.98 | $5.37 | $10.47 |
Ambetter Setting Professional Modifier None Typical Low $3.02 Median $3.72 Typical High $8.71 | Professional | None | $3.02 | $3.72 | $8.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $5.25 Median $7.94 Typical High $20.89 | Facility | None | $5.25 | $7.94 | $20.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.86 Median $3.39 Typical High $12.02 | Professional | None | $1.86 | $3.39 | $12.02 |
CareSource Setting Facility Modifier None Typical Low $4.07 Median $4.07 Typical High $4.07 | Facility | None | $4.07 | $4.07 | $4.07 |
CareSource Setting Professional Modifier None Typical Low $3.89 Median $6.03 Typical High $6.03 | Professional | None | $3.89 | $6.03 | $6.03 |
Cigna Setting Facility Modifier None Typical Low $6.03 Median $13.18 Typical High $31.62 | Facility | None | $6.03 | $13.18 | $31.62 |
Cigna Setting Professional Modifier None Typical Low $3.63 Median $7.08 Typical High $9.33 | Professional | None | $3.63 | $7.08 | $9.33 |
Kaiser Permanente Setting Professional Modifier None Typical Low $6.61 Median $9.12 Typical High $21.38 | Professional | None | $6.61 | $9.12 | $21.38 |
United Setting Facility Modifier None Typical Low $2.00 Median $2.00 Typical High $15.14 | Facility | None | $2.00 | $2.00 | $15.14 |
United Setting Professional Modifier None Typical Low $2.69 Median $4.37 Typical High $12.59 | Professional | None | $2.69 | $4.37 | $12.59 |
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 $2.00 Median $2.57 Typical High $2.95 | Professional | 52 · Reduced service | $2.00 | $2.57 | $2.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.79 Median $1.02 Typical High $1.17 | Professional | 53 · Discontinued | $0.79 | $1.02 | $1.17 |
Where Georgia sits
The same service costs 14.5 times more in Minnesota 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· 41st of 51
$5.50
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.