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 $3.72 Median $3.72 Typical High $10.23 | Facility | None | $3.72 | $3.72 | $10.23 |
Aetna Setting Professional Modifier None Typical Low $3.72 Median $4.79 Typical High $5.89 | Professional | None | $3.72 | $4.79 | $5.89 |
Ambetter Setting Professional Modifier None Typical Low $3.39 Median $3.39 Typical High $3.39 | Professional | None | $3.39 | $3.39 | $3.39 |
Anthem BCBS Setting Facility Modifier None Typical Low $4.79 Median $7.41 Typical High $19.05 | Facility | None | $4.79 | $7.41 | $19.05 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.74 Median $2.75 Typical High $10.96 | Professional | None | $1.74 | $2.75 | $10.96 |
CareSource Setting Facility Modifier None Typical Low $4.27 Median $4.27 Typical High $4.27 | Facility | None | $4.27 | $4.27 | $4.27 |
Cigna Setting Facility Modifier None Typical Low $5.62 Median $12.30 Typical High $30.20 | Facility | None | $5.62 | $12.30 | $30.20 |
Cigna Setting Professional Modifier None Typical Low $3.55 Median $6.17 Typical High $8.32 | Professional | None | $3.55 | $6.17 | $8.32 |
Kaiser Permanente Setting Professional Modifier None Typical Low $6.17 Median $8.32 Typical High $20.42 | Professional | None | $6.17 | $8.32 | $20.42 |
United Setting Facility Modifier None Typical Low $12.02 Median $12.02 Typical High $12.02 | Facility | None | $12.02 | $12.02 | $12.02 |
United Setting Professional Modifier None Typical Low $2.51 Median $4.07 Typical High $11.75 | Professional | None | $2.51 | $4.07 | $11.75 |
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 $1.86 Median $2.34 Typical High $2.69 | Professional | 52 · Reduced service | $1.86 | $2.34 | $2.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.74 Median $0.93 Typical High $1.07 | Professional | 53 · Discontinued | $0.74 | $0.93 | $1.07 |
Where Georgia sits
The same service costs 4.8 times more in Kansas 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· 37th of 51
$4.79
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.