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 $9.12 Median $13.18 Typical High $25.70 | Facility | None | $9.12 | $13.18 | $25.70 |
Aetna Setting Professional Modifier None Typical Low $9.12 Median $10.96 Typical High $13.80 | Professional | None | $9.12 | $10.96 | $13.80 |
Ambetter Setting Professional Modifier None Typical Low $8.51 Median $8.51 Typical High $8.51 | Professional | None | $8.51 | $8.51 | $8.51 |
Anthem BCBS Setting Facility Modifier None Typical Low $11.75 Median $16.60 Typical High $47.86 | Facility | None | $11.75 | $16.60 | $47.86 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.72 Median $6.31 Typical High $23.44 | Professional | None | $3.72 | $6.31 | $23.44 |
CareSource Setting Facility Modifier None Typical Low $10.23 Median $10.23 Typical High $10.23 | Facility | None | $10.23 | $10.23 | $10.23 |
CareSource Setting Professional Modifier None Typical Low $8.91 Median $13.80 Typical High $13.80 | Professional | None | $8.91 | $13.80 | $13.80 |
Cigna Setting Facility Modifier None Typical Low $13.80 Median $30.20 Typical High $57.54 | Facility | None | $13.80 | $30.20 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $7.41 Median $8.91 Typical High $21.38 | Professional | None | $7.41 | $8.91 | $21.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $15.14 Median $20.89 Typical High $44.67 | Professional | None | $15.14 | $20.89 | $44.67 |
United Setting Professional Modifier None Typical Low $6.17 Median $9.77 Typical High $28.84 | Professional | None | $6.17 | $9.77 | $28.84 |
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 $4.57 Median $5.50 Typical High $6.76 | Professional | 52 · Reduced service | $4.57 | $5.50 | $6.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.82 Median $2.19 Typical High $2.69 | Professional | 53 · Discontinued | $1.82 | $2.19 | $2.69 |
Where Georgia sits
The same service costs 3.7 times more in Kansas than in New Jersey. 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· 47th of 51
$10.72
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.