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 $2.00 Median $2.82 Typical High $6.17 | Facility | None | $2.00 | $2.82 | $6.17 |
Aetna Setting Professional Modifier None Typical Low $2.00 Median $2.69 Typical High $5.25 | Professional | None | $2.00 | $2.69 | $5.25 |
Ambetter Setting Professional Modifier None Typical Low $1.82 Median $1.82 Typical High $5.75 | Professional | None | $1.82 | $1.82 | $5.75 |
Anthem BCBS Setting Facility Modifier None Typical Low $2.63 Median $3.98 Typical High $10.23 | Facility | None | $2.63 | $3.98 | $10.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.93 Median $1.70 Typical High $10.47 | Professional | None | $0.93 | $1.70 | $10.47 |
CareSource Setting Facility Modifier None Typical Low $2.04 Median $2.04 Typical High $2.04 | Facility | None | $2.04 | $2.04 | $2.04 |
CareSource Setting Professional Modifier None Typical Low $1.95 Median $3.02 Typical High $3.02 | Professional | None | $1.95 | $3.02 | $3.02 |
Cigna Setting Facility Modifier None Typical Low $3.02 Median $6.61 Typical High $16.98 | Facility | None | $3.02 | $6.61 | $16.98 |
Cigna Setting Professional Modifier None Typical Low $1.82 Median $3.31 Typical High $4.68 | Professional | None | $1.82 | $3.31 | $4.68 |
Kaiser Permanente Setting Professional Modifier None Typical Low $3.31 Median $4.47 Typical High $5.89 | Professional | None | $3.31 | $4.47 | $5.89 |
United Setting Professional Modifier None Typical Low $1.35 Median $2.45 Typical High $7.41 | Professional | None | $1.35 | $2.45 | $7.41 |
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 $1.00 Median $1.26 Typical High $1.45 | Professional | 52 · Reduced service | $1.00 | $1.26 | $1.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.40 Median $0.48 Typical High $0.60 | Professional | 53 · Discontinued | $0.40 | $0.48 | $0.60 |
Where Georgia sits
The same service costs 28.2 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· 43rd of 51
$2.75
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.