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 $6.92 Median $10.00 Typical High $19.05 | Facility | None | $6.92 | $10.00 | $19.05 |
Aetna Setting Professional Modifier None Typical Low $6.92 Median $9.12 Typical High $18.20 | Professional | None | $6.92 | $9.12 | $18.20 |
Ambetter Setting Professional Modifier None Typical Low $6.31 Median $6.92 Typical High $16.98 | Professional | None | $6.31 | $6.92 | $16.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $8.91 Median $13.80 Typical High $35.48 | Facility | None | $8.91 | $13.80 | $35.48 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.24 Median $5.89 Typical High $20.42 | Professional | None | $3.24 | $5.89 | $20.42 |
CareSource Setting Facility Modifier None Typical Low $7.59 Median $7.59 Typical High $7.59 | Facility | None | $7.59 | $7.59 | $7.59 |
CareSource Setting Professional Modifier None Typical Low $6.76 Median $10.23 Typical High $10.23 | Professional | None | $6.76 | $10.23 | $10.23 |
Cigna Setting Facility Modifier None Typical Low $10.23 Median $22.91 Typical High $56.23 | Facility | None | $10.23 | $22.91 | $56.23 |
Cigna Setting Professional Modifier None Typical Low $6.46 Median $12.02 Typical High $15.49 | Professional | None | $6.46 | $12.02 | $15.49 |
Kaiser Permanente Setting Professional Modifier None Typical Low $11.48 Median $15.49 Typical High $38.02 | Professional | None | $11.48 | $15.49 | $38.02 |
United Setting Professional Modifier None Typical Low $4.68 Median $7.59 Typical High $21.88 | Professional | None | $4.68 | $7.59 | $21.88 |
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 $3.47 Median $4.37 Typical High $5.01 | Professional | 52 · Reduced service | $3.47 | $4.37 | $5.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.38 Median $1.78 Typical High $2.00 | Professional | 53 · Discontinued | $1.38 | $1.78 | $2.00 |
Where Georgia sits
The same service costs 12.6 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
$9.12
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.