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 $3.55 Median $3.55 Typical High $10.00 | Facility | None | $3.55 | $3.55 | $10.00 |
Aetna Setting Professional Modifier None Typical Low $3.55 Median $4.68 Typical High $9.33 | Professional | None | $3.55 | $4.68 | $9.33 |
Ambetter Setting Professional Modifier None Typical Low $3.31 Median $3.31 Typical High $3.31 | Professional | None | $3.31 | $3.31 | $3.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $4.79 Median $7.24 Typical High $18.62 | Facility | None | $4.79 | $7.24 | $18.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.66 Median $3.02 Typical High $10.72 | Professional | None | $1.66 | $3.02 | $10.72 |
CareSource Setting Facility Modifier None Typical Low $3.72 Median $3.72 Typical High $3.72 | Facility | None | $3.72 | $3.72 | $3.72 |
CareSource Setting Professional Modifier None Typical Low $3.47 Median $5.37 Typical High $5.37 | Professional | None | $3.47 | $5.37 | $5.37 |
Cigna Setting Facility Modifier None Typical Low $5.37 Median $11.75 Typical High $28.18 | Facility | None | $5.37 | $11.75 | $28.18 |
Cigna Setting Professional Modifier None Typical Low $3.39 Median $6.17 Typical High $8.32 | Professional | None | $3.39 | $6.17 | $8.32 |
Kaiser Permanente Setting Professional Modifier None Typical Low $5.89 Median $8.13 Typical High $19.95 | Professional | None | $5.89 | $8.13 | $19.95 |
United Setting Professional Modifier None Typical Low $2.45 Median $4.07 Typical High $11.22 | Professional | None | $2.45 | $4.07 | $11.22 |
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 $1.78 Median $2.29 Typical High $2.63 | Professional | 52 · Reduced service | $1.78 | $2.29 | $2.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.72 Median $0.91 Typical High $1.05 | Professional | 53 · Discontinued | $0.72 | $0.91 | $1.05 |
Where Georgia sits
The same service costs 11.2 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
$4.79
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.