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 $8.71 Median $12.02 Typical High $24.55 | Facility | None | $8.71 | $12.02 | $24.55 |
Aetna Setting Professional Modifier None Typical Low $8.71 Median $12.02 Typical High $22.91 | Professional | None | $8.71 | $12.02 | $22.91 |
Ambetter Setting Professional Modifier None Typical Low $8.13 Median $8.71 Typical High $21.38 | Professional | None | $8.13 | $8.71 | $21.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $11.48 Median $17.78 Typical High $45.71 | Facility | None | $11.48 | $17.78 | $45.71 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.07 Median $7.41 Typical High $25.70 | Professional | None | $4.07 | $7.41 | $25.70 |
CareSource Setting Facility Modifier None Typical Low $10.47 Median $10.47 Typical High $10.47 | Facility | None | $10.47 | $10.47 | $10.47 |
CareSource Setting Professional Modifier None Typical Low $8.51 Median $13.18 Typical High $13.18 | Professional | None | $8.51 | $13.18 | $13.18 |
Cigna Setting Facility Modifier None Typical Low $13.18 Median $28.84 Typical High $57.54 | Facility | None | $13.18 | $28.84 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $8.13 Median $15.14 Typical High $19.95 | Professional | None | $8.13 | $15.14 | $19.95 |
Kaiser Permanente Setting Professional Modifier None Typical Low $14.45 Median $19.95 Typical High $48.98 | Professional | None | $14.45 | $19.95 | $48.98 |
United Setting Professional Modifier None Typical Low $5.50 Median $9.55 Typical High $27.54 | Professional | None | $5.50 | $9.55 | $27.54 |
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 $4.37 Median $5.50 Typical High $6.46 | Professional | 52 · Reduced service | $4.37 | $5.50 | $6.46 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.74 Median $2.24 Typical High $2.57 | Professional | 53 · Discontinued | $1.74 | $2.24 | $2.57 |
Where Georgia sits
The same service costs 9.1 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· 38th of 51
$11.75
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.