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 $3.80 Median $4.90 Typical High $11.48 | Facility | None | $3.80 | $4.90 | $11.48 |
Aetna Setting Professional Modifier None Typical Low $3.80 Median $5.25 Typical High $10.00 | Professional | None | $3.80 | $5.25 | $10.00 |
Ambetter Setting Professional Modifier None Typical Low $3.47 Median $3.89 Typical High $10.96 | Professional | None | $3.47 | $3.89 | $10.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $4.90 Median $7.59 Typical High $19.50 | Facility | None | $4.90 | $7.59 | $19.50 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.78 Median $2.95 Typical High $11.22 | Professional | None | $1.78 | $2.95 | $11.22 |
CareSource Setting Facility Modifier None Typical Low $4.57 Median $4.57 Typical High $4.57 | Facility | None | $4.57 | $4.57 | $4.57 |
CareSource Setting Professional Modifier None Typical Low $3.72 Median $5.62 Typical High $5.62 | Professional | None | $3.72 | $5.62 | $5.62 |
Cigna Setting Facility Modifier None Typical Low $5.62 Median $12.59 Typical High $30.20 | Facility | None | $5.62 | $12.59 | $30.20 |
Cigna Setting Professional Modifier None Typical Low $3.55 Median $6.61 Typical High $8.71 | Professional | None | $3.55 | $6.61 | $8.71 |
Kaiser Permanente Setting Professional Modifier None Typical Low $6.31 Median $8.51 Typical High $20.89 | Professional | None | $6.31 | $8.51 | $20.89 |
United Setting Professional Modifier None Typical Low $2.51 Median $4.68 Typical High $12.02 | Professional | None | $2.51 | $4.68 | $12.02 |
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 $1.91 Median $2.40 Typical High $2.75 | Professional | 52 · Reduced service | $1.91 | $2.40 | $2.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.76 Median $0.95 Typical High $1.10 | Professional | 53 · Discontinued | $0.76 | $0.95 | $1.10 |
Where Georgia sits
The same service costs 13.5 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
$5.01
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.