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 $25.12 | Facility | None | $7.94 | $11.48 | $25.12 |
Aetna Setting Professional Modifier None Typical Low $7.94 Median $10.47 Typical High $16.22 | Professional | None | $7.94 | $10.47 | $16.22 |
Ambetter Setting Professional Modifier None Typical Low $7.41 Median $7.41 Typical High $17.38 | Professional | None | $7.41 | $7.41 | $17.38 |
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 $3.72 Median $5.89 Typical High $27.54 | Professional | None | $3.72 | $5.89 | $27.54 |
CareSource Setting Facility Modifier None Typical Low $9.33 Median $9.33 Typical High $11.75 | Facility | None | $9.33 | $9.33 | $11.75 |
CareSource Setting Professional Modifier None Typical Low $7.76 Median $12.02 Typical High $12.02 | Professional | None | $7.76 | $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 $16.22 Median $17.78 Typical High $43.65 | Professional | None | $16.22 | $17.78 | $43.65 |
Kaiser Permanente Setting Professional Modifier None Typical Low $13.18 Median $18.20 Typical High $23.44 | Professional | None | $13.18 | $18.20 | $23.44 |
United Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Facility | None | $36.31 | $36.31 | $36.31 |
United Setting Professional Modifier None Typical Low $5.01 Median $7.24 Typical High $25.12 | Professional | None | $5.01 | $7.24 | $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 $5.01 Typical High $5.89 | Professional | 52 · Reduced service | $3.98 | $5.01 | $5.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.58 Median $2.04 Typical High $2.34 | Professional | 53 · Discontinued | $1.58 | $2.04 | $2.34 |
Where Georgia sits
The same service costs 3.9 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· 47th of 51
$10.96
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.