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 $4.47 Median $4.47 Typical High $13.49 | Facility | None | $4.47 | $4.47 | $13.49 |
Aetna Setting Professional Modifier None Typical Low $4.47 Median $5.75 Typical High $11.75 | Professional | None | $4.47 | $5.75 | $11.75 |
Ambetter Setting Professional Modifier None Typical Low $4.07 Median $4.07 Typical High $4.07 | Professional | None | $4.07 | $4.07 | $4.07 |
Anthem BCBS Setting Facility Modifier None Typical Low $5.75 Median $8.91 Typical High $22.91 | Facility | None | $5.75 | $8.91 | $22.91 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.04 Median $3.80 Typical High $13.18 | Professional | None | $2.04 | $3.80 | $13.18 |
CareSource Setting Facility Modifier None Typical Low $5.13 Median $5.13 Typical High $5.13 | Facility | None | $5.13 | $5.13 | $5.13 |
CareSource Setting Professional Modifier None Typical Low $4.37 Median $6.61 Typical High $6.61 | Professional | None | $4.37 | $6.61 | $6.61 |
Cigna Setting Facility Modifier None Typical Low $6.61 Median $14.79 Typical High $35.48 | Facility | None | $6.61 | $14.79 | $35.48 |
Cigna Setting Professional Modifier None Typical Low $4.07 Median $4.79 Typical High $10.23 | Professional | None | $4.07 | $4.79 | $10.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $7.41 Median $10.00 Typical High $24.55 | Professional | None | $7.41 | $10.00 | $24.55 |
United Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Facility | None | $15.14 | $15.14 | $15.14 |
United Setting Professional Modifier None Typical Low $2.82 Median $4.90 Typical High $14.13 | Professional | None | $2.82 | $4.90 | $14.13 |
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 $2.24 Median $2.82 Typical High $3.24 | Professional | 52 · Reduced service | $2.24 | $2.82 | $3.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.89 Median $1.12 Typical High $1.29 | Professional | 53 · Discontinued | $0.89 | $1.12 | $1.29 |
Where Georgia sits
The same service costs 11.0 times more in Vermont than in Kentucky. 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· 36th of 51
$5.89
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.