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 $6.31 Median $8.71 Typical High $17.38 | Facility | None | $6.31 | $8.71 | $17.38 |
Aetna Setting Professional Modifier None Typical Low $6.31 Median $8.51 Typical High $16.60 | Professional | None | $6.31 | $8.51 | $16.60 |
Ambetter Setting Professional Modifier None Typical Low $3.16 Median $5.75 Typical High $18.20 | Professional | None | $3.16 | $5.75 | $18.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $8.13 Median $12.59 Typical High $33.11 | Facility | None | $8.13 | $12.59 | $33.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.95 Median $5.01 Typical High $18.62 | Professional | None | $2.95 | $5.01 | $18.62 |
CareSource Setting Facility Modifier None Typical Low $7.08 Median $7.08 Typical High $7.08 | Facility | None | $7.08 | $7.08 | $7.08 |
CareSource Setting Professional Modifier None Typical Low $6.17 Median $9.55 Typical High $9.55 | Professional | None | $6.17 | $9.55 | $9.55 |
Cigna Setting Facility Modifier None Typical Low $9.55 Median $20.89 Typical High $50.12 | Facility | None | $9.55 | $20.89 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $5.75 Median $6.76 Typical High $14.45 | Professional | None | $5.75 | $6.76 | $14.45 |
Kaiser Permanente Setting Professional Modifier None Typical Low $10.47 Median $14.13 Typical High $34.67 | Professional | None | $10.47 | $14.13 | $34.67 |
United Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Facility | None | $36.31 | $36.31 | $36.31 |
United Setting Professional Modifier None Typical Low $4.27 Median $7.76 Typical High $19.95 | Professional | None | $4.27 | $7.76 | $19.95 |
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 $3.16 Median $3.98 Typical High $4.57 | Professional | 52 · Reduced service | $3.16 | $3.98 | $4.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.26 Median $1.58 Typical High $1.82 | Professional | 53 · Discontinued | $1.26 | $1.58 | $1.82 |
Where Georgia sits
The same service costs 15.8 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· 40th 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.