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 $8.32 Median $8.32 Typical High $26.92 | Facility | None | $8.32 | $8.32 | $26.92 |
Aetna Setting Professional Modifier None Typical Low $8.32 Median $10.72 Typical High $21.88 | Professional | None | $8.32 | $10.72 | $21.88 |
Ambetter Setting Professional Modifier None Typical Low $7.59 Median $7.59 Typical High $17.78 | Professional | None | $7.59 | $7.59 | $17.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.72 Median $16.60 Typical High $42.66 | Facility | None | $10.72 | $16.60 | $42.66 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.89 Median $7.08 Typical High $23.99 | Professional | None | $3.89 | $7.08 | $23.99 |
CareSource Setting Facility Modifier None Typical Low $8.91 Median $8.91 Typical High $8.91 | Facility | None | $8.91 | $8.91 | $8.91 |
CareSource Setting Professional Modifier None Typical Low $8.13 Median $12.30 Typical High $12.30 | Professional | None | $8.13 | $12.30 | $12.30 |
Cigna Setting Facility Modifier None Typical Low $12.30 Median $27.54 Typical High $57.54 | Facility | None | $12.30 | $27.54 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $7.59 Median $14.13 Typical High $19.05 | Professional | None | $7.59 | $14.13 | $19.05 |
Kaiser Permanente Setting Professional Modifier None Typical Low $13.49 Median $18.62 Typical High $45.71 | Professional | None | $13.49 | $18.62 | $45.71 |
United Setting Professional Modifier None Typical Low $5.25 Median $9.12 Typical High $26.30 | Professional | None | $5.25 | $9.12 | $26.30 |
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 $4.07 Median $5.25 Typical High $6.03 | Professional | 52 · Reduced service | $4.07 | $5.25 | $6.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.66 Median $2.09 Typical High $2.40 | Professional | 53 · Discontinued | $1.66 | $2.09 | $2.40 |
Where Georgia sits
The same service costs 8.5 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· 35th of 51
$10.96
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.