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 $7.94 Median $11.48 Typical High $24.55 | Facility | None | $7.94 | $11.48 | $24.55 |
Aetna Setting Professional Modifier None Typical Low $7.94 Median $11.22 Typical High $21.38 | Professional | None | $7.94 | $11.22 | $21.38 |
Ambetter Setting Professional Modifier None Typical Low $6.03 Median $8.13 Typical High $22.91 | Professional | None | $6.03 | $8.13 | $22.91 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.47 Median $16.22 Typical High $41.69 | Facility | None | $10.47 | $16.22 | $41.69 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.80 Median $6.31 Typical High $23.44 | Professional | None | $3.80 | $6.31 | $23.44 |
CareSource Setting Facility Modifier None Typical Low $9.77 Median $9.77 Typical High $9.77 | Facility | None | $9.77 | $9.77 | $9.77 |
CareSource Setting Professional Modifier None Typical Low $7.94 Median $12.02 Typical High $12.02 | Professional | None | $7.94 | $12.02 | $12.02 |
Cigna Setting Facility Modifier None Typical Low $12.02 Median $26.30 Typical High $57.54 | Facility | None | $12.02 | $26.30 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $7.41 Median $13.49 Typical High $18.62 | Professional | None | $7.41 | $13.49 | $18.62 |
Kaiser Permanente Setting Professional Modifier None Typical Low $13.18 Median $18.20 Typical High $44.67 | Professional | None | $13.18 | $18.20 | $44.67 |
United Setting Professional Modifier None Typical Low $5.50 Median $8.91 Typical High $25.12 | Professional | None | $5.50 | $8.91 | $25.12 |
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 $3.98 Median $5.13 Typical High $5.89 | Professional | 52 · Reduced service | $3.98 | $5.13 | $5.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.62 Median $2.04 Typical High $2.34 | Professional | 53 · Discontinued | $1.62 | $2.04 | $2.34 |
Where Georgia sits
The same service costs 8.3 times more in Vermont 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· 39th of 51
$10.72
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.