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 $9.55 Median $9.55 Typical High $25.70 | Facility | None | $9.55 | $9.55 | $25.70 |
Aetna Setting Professional Modifier None Typical Low $9.55 Median $12.59 Typical High $25.12 | Professional | None | $9.55 | $12.59 | $25.12 |
Ambetter Setting Professional Modifier None Typical Low $8.91 Median $8.91 Typical High $20.89 | Professional | None | $8.91 | $8.91 | $20.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $12.30 Median $17.78 Typical High $50.12 | Facility | None | $12.30 | $17.78 | $50.12 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.47 Median $8.13 Typical High $23.44 | Professional | None | $4.47 | $8.13 | $23.44 |
CareSource Setting Facility Modifier None Typical Low $11.48 Median $11.48 Typical High $11.48 | Facility | None | $11.48 | $11.48 | $11.48 |
CareSource Setting Professional Modifier None Typical Low $9.33 Median $14.45 Typical High $14.45 | Professional | None | $9.33 | $14.45 | $14.45 |
Cigna Setting Facility Modifier None Typical Low $14.45 Median $31.62 Typical High $57.54 | Facility | None | $14.45 | $31.62 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $8.91 Median $16.60 Typical High $21.88 | Professional | None | $8.91 | $16.60 | $21.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $15.85 Median $21.88 Typical High $42.66 | Professional | None | $15.85 | $21.88 | $42.66 |
United Setting Professional Modifier None Typical Low $6.03 Median $8.71 Typical High $30.20 | Professional | None | $6.03 | $8.71 | $30.20 |
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 $4.79 Median $6.03 Typical High $6.92 | Professional | 52 · Reduced service | $4.79 | $6.03 | $6.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.91 Median $2.40 Typical High $2.82 | Professional | 53 · Discontinued | $1.91 | $2.40 | $2.82 |
Where Georgia sits
The same service costs 7.1 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
$12.59
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.