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 $5.37 Median $7.08 Typical High $16.98 | Facility | None | $5.37 | $7.08 | $16.98 |
Aetna Setting Professional Modifier None Typical Low $5.37 Median $7.08 Typical High $14.13 | Professional | None | $5.37 | $7.08 | $14.13 |
Ambetter Setting Professional Modifier None Typical Low $4.90 Median $4.90 Typical High $4.90 | Professional | None | $4.90 | $4.90 | $4.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $6.92 Median $10.72 Typical High $28.18 | Facility | None | $6.92 | $10.72 | $28.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.51 Median $4.57 Typical High $15.85 | Professional | None | $2.51 | $4.57 | $15.85 |
CareSource Setting Facility Modifier None Typical Low $6.17 Median $6.17 Typical High $6.17 | Facility | None | $6.17 | $6.17 | $6.17 |
CareSource Setting Professional Modifier None Typical Low $5.25 Median $8.13 Typical High $8.13 | Professional | None | $5.25 | $8.13 | $8.13 |
Cigna Setting Facility Modifier None Typical Low $8.13 Median $17.78 Typical High $43.65 | Facility | None | $8.13 | $17.78 | $43.65 |
Cigna Setting Professional Modifier None Typical Low $5.01 Median $5.62 Typical High $12.30 | Professional | None | $5.01 | $5.62 | $12.30 |
Kaiser Permanente Setting Professional Modifier None Typical Low $8.91 Median $12.30 Typical High $30.20 | Professional | None | $8.91 | $12.30 | $30.20 |
United Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
United Setting Professional Modifier None Typical Low $3.63 Median $6.17 Typical High $16.98 | Professional | None | $3.63 | $6.17 | $16.98 |
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 $2.69 Median $3.39 Typical High $3.89 | Professional | 52 · Reduced service | $2.69 | $3.39 | $3.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.07 Median $1.38 Typical High $1.58 | Professional | 53 · Discontinued | $1.07 | $1.38 | $1.58 |
Where Georgia sits
The same service costs 5.6 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
$7.08
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.