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 $2.82 Median $4.07 Typical High $7.94 | Facility | None | $2.82 | $4.07 | $7.94 |
Aetna Setting Professional Modifier None Typical Low $2.82 Median $3.72 Typical High $7.41 | Professional | None | $2.82 | $3.72 | $7.41 |
Ambetter Setting Professional Modifier None Typical Low $2.14 Median $2.63 Typical High $6.17 | Professional | None | $2.14 | $2.63 | $6.17 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.72 Median $5.75 Typical High $14.79 | Facility | None | $3.72 | $5.75 | $14.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.32 Median $2.40 Typical High $8.32 | Professional | None | $1.32 | $2.40 | $8.32 |
CareSource Setting Facility Modifier None Typical Low $3.47 Median $3.47 Typical High $3.47 | Facility | None | $3.47 | $3.47 | $3.47 |
CareSource Setting Professional Modifier None Typical Low $2.75 Median $4.27 Typical High $4.27 | Professional | None | $2.75 | $4.27 | $4.27 |
Cigna Setting Facility Modifier None Typical Low $4.27 Median $9.33 Typical High $22.39 | Facility | None | $4.27 | $9.33 | $22.39 |
Cigna Setting Professional Modifier None Typical Low $2.57 Median $5.01 Typical High $6.76 | Professional | None | $2.57 | $5.01 | $6.76 |
Kaiser Permanente Setting Professional Modifier None Typical Low $4.68 Median $6.46 Typical High $15.85 | Professional | None | $4.68 | $6.46 | $15.85 |
United Setting Facility Modifier None Typical Low $8.91 Median $8.91 Typical High $8.91 | Facility | None | $8.91 | $8.91 | $8.91 |
United Setting Professional Modifier None Typical Low $2.00 Median $3.16 Typical High $8.91 | Professional | None | $2.00 | $3.16 | $8.91 |
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 $1.41 Median $1.82 Typical High $2.04 | Professional | 52 · Reduced service | $1.41 | $1.82 | $2.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.56 Median $0.68 Typical High $0.85 | Professional | 53 · Discontinued | $0.56 | $0.68 | $0.85 |
Where Georgia sits
The same service costs 15.1 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
$3.80
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.