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 $3.47 Median $3.47 Typical High $9.55 | Facility | None | $3.47 | $3.47 | $9.55 |
Aetna Setting Professional Modifier None Typical Low $3.47 Median $4.47 Typical High $9.12 | Professional | None | $3.47 | $4.47 | $9.12 |
Ambetter Setting Professional Modifier None Typical Low $3.16 Median $3.16 Typical High $7.41 | Professional | None | $3.16 | $3.16 | $7.41 |
Anthem BCBS Setting Facility Modifier None Typical Low $4.47 Median $6.46 Typical High $17.78 | Facility | None | $4.47 | $6.46 | $17.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.62 Median $2.69 Typical High $8.91 | Professional | None | $1.62 | $2.69 | $8.91 |
CareSource Setting Facility Modifier None Typical Low $3.98 Median $3.98 Typical High $3.98 | Facility | None | $3.98 | $3.98 | $3.98 |
CareSource Setting Professional Modifier None Typical Low $3.39 Median $5.13 Typical High $5.13 | Professional | None | $3.39 | $5.13 | $5.13 |
Cigna Setting Facility Modifier None Typical Low $5.13 Median $11.48 Typical High $28.18 | Facility | None | $5.13 | $11.48 | $28.18 |
Cigna Setting Professional Modifier None Typical Low $3.24 Median $3.63 Typical High $7.76 | Professional | None | $3.24 | $3.63 | $7.76 |
Kaiser Permanente Setting Professional Modifier None Typical Low $5.75 Median $7.76 Typical High $16.60 | Professional | None | $5.75 | $7.76 | $16.60 |
United Setting Facility Modifier None Typical Low $8.91 Median $8.91 Typical High $8.91 | Facility | None | $8.91 | $8.91 | $8.91 |
United Setting Professional Modifier None Typical Low $2.34 Median $3.24 Typical High $10.96 | Professional | None | $2.34 | $3.24 | $10.96 |
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 $1.74 Median $2.19 Typical High $2.51 | Professional | 52 · Reduced service | $1.74 | $2.19 | $2.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.69 Median $0.87 Typical High $1.00 | Professional | 53 · Discontinued | $0.69 | $0.87 | $1.00 |
Where Georgia sits
The same service costs 9.3 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· 39th of 51
$4.47
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.