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 $5.75 Median $8.32 Typical High $18.20 | Facility | None | $5.75 | $8.32 | $18.20 |
Aetna Setting Professional Modifier None Typical Low $5.75 Median $7.94 Typical High $18.20 | Professional | None | $5.75 | $7.94 | $18.20 |
Ambetter Setting Professional Modifier None Typical Low $4.57 Median $4.57 Typical High $12.88 | Professional | None | $4.57 | $4.57 | $12.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $7.41 Median $11.48 Typical High $29.51 | Facility | None | $7.41 | $11.48 | $29.51 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.69 Median $5.89 Typical High $16.98 | Professional | None | $2.69 | $5.89 | $16.98 |
CareSource Setting Facility Modifier None Typical Low $6.61 Median $6.61 Typical High $6.61 | Facility | None | $6.61 | $6.61 | $6.61 |
CareSource Setting Professional Modifier None Typical Low $5.62 Median $8.71 Typical High $8.71 | Professional | None | $5.62 | $8.71 | $8.71 |
Cigna Setting Facility Modifier None Typical Low $8.71 Median $19.05 Typical High $46.77 | Facility | None | $8.71 | $19.05 | $46.77 |
Cigna Setting Professional Modifier None Typical Low $5.37 Median $6.03 Typical High $12.88 | Professional | None | $5.37 | $6.03 | $12.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $9.55 Median $12.88 Typical High $30.90 | Professional | None | $9.55 | $12.88 | $30.90 |
United Setting Facility Modifier None Typical Low $2.95 Median $2.95 Typical High $36.31 | Facility | None | $2.95 | $2.95 | $36.31 |
United Setting Professional Modifier None Typical Low $3.89 Median $6.31 Typical High $18.20 | Professional | None | $3.89 | $6.31 | $18.20 |
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 $2.88 Median $3.63 Typical High $4.17 | Professional | 52 · Reduced service | $2.88 | $3.63 | $4.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.15 Median $1.48 Typical High $1.66 | Professional | 53 · Discontinued | $1.15 | $1.48 | $1.66 |
Where Georgia sits
The same service costs 10.2 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· 35th of 51
$8.32
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.