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 $10.23 Median $14.13 Typical High $28.18 | Facility | None | $10.23 | $14.13 | $28.18 |
Aetna Setting Professional Modifier None Typical Low $10.23 Median $13.18 Typical High $23.44 | Professional | None | $10.23 | $13.18 | $23.44 |
Ambetter Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $21.88 | Professional | None | $9.33 | $9.33 | $21.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $13.18 Median $20.42 Typical High $52.48 | Facility | None | $13.18 | $20.42 | $52.48 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.79 Median $8.71 Typical High $30.20 | Professional | None | $4.79 | $8.71 | $30.20 |
CareSource Setting Facility Modifier None Typical Low $12.30 Median $12.30 Typical High $12.30 | Facility | None | $12.30 | $12.30 | $12.30 |
CareSource Setting Professional Modifier None Typical Low $10.00 Median $15.14 Typical High $15.14 | Professional | None | $10.00 | $15.14 | $15.14 |
Cigna Setting Facility Modifier None Typical Low $15.14 Median $33.88 Typical High $57.54 | Facility | None | $15.14 | $33.88 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $9.55 Median $17.38 Typical High $23.44 | Professional | None | $9.55 | $17.38 | $23.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $16.98 Median $22.91 Typical High $56.23 | Professional | None | $16.98 | $22.91 | $56.23 |
United Setting Professional Modifier None Typical Low $6.46 Median $11.22 Typical High $32.36 | Professional | None | $6.46 | $11.22 | $32.36 |
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 $5.13 Median $6.46 Typical High $7.41 | Professional | 52 · Reduced service | $5.13 | $6.46 | $7.41 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.04 Median $2.57 Typical High $2.95 | Professional | 53 · Discontinued | $2.04 | $2.57 | $2.95 |
Where Georgia sits
The same service costs 11.5 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· 38th of 51
$13.49
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.