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 $2.95 Median $2.95 Typical High $8.13 | Facility | None | $2.95 | $2.95 | $8.13 |
Aetna Setting Professional Modifier None Typical Low $2.95 Median $3.80 Typical High $7.76 | Professional | None | $2.95 | $3.80 | $7.76 |
Ambetter Setting Professional Modifier None Typical Low $2.19 Median $2.19 Typical High $6.31 | Professional | None | $2.19 | $2.19 | $6.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.80 Median $5.89 Typical High $15.14 | Facility | None | $3.80 | $5.89 | $15.14 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.38 Median $2.51 Typical High $8.71 | Professional | None | $1.38 | $2.51 | $8.71 |
CareSource Setting Facility Modifier None Typical Low $3.55 Median $3.55 Typical High $3.55 | Facility | None | $3.55 | $3.55 | $3.55 |
CareSource Setting Professional Modifier None Typical Low $2.88 Median $4.37 Typical High $4.37 | Professional | None | $2.88 | $4.37 | $4.37 |
Cigna Setting Facility Modifier None Typical Low $4.37 Median $9.77 Typical High $24.55 | Facility | None | $4.37 | $9.77 | $24.55 |
Cigna Setting Professional Modifier None Typical Low $2.75 Median $5.37 Typical High $6.76 | Professional | None | $2.75 | $5.37 | $6.76 |
Kaiser Permanente Setting Professional Modifier None Typical Low $4.79 Median $6.61 Typical High $16.22 | Professional | None | $4.79 | $6.61 | $16.22 |
United Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Facility | None | $15.14 | $15.14 | $15.14 |
United Setting Professional Modifier None Typical Low $2.00 Median $3.24 Typical High $9.33 | Professional | None | $2.00 | $3.24 | $9.33 |
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 $1.48 Median $1.86 Typical High $2.14 | Professional | 52 · Reduced service | $1.48 | $1.86 | $2.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.59 Median $0.74 Typical High $0.85 | Professional | 53 · Discontinued | $0.59 | $0.74 | $0.85 |
Where Georgia sits
The same service costs 4.2 times more in Kansas 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· 38th of 51
$3.89
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.