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 $28.18 Median $40.74 Typical High $79.43 | Facility | None | $28.18 | $40.74 | $79.43 |
Aetna Setting Professional Modifier None Typical Low $28.18 Median $37.15 Typical High $74.13 | Professional | None | $28.18 | $37.15 | $74.13 |
Ambetter Setting Professional Modifier None Typical Low $21.38 Median $61.66 Typical High $61.66 | Professional | None | $21.38 | $61.66 | $61.66 |
Anthem BCBS Setting Facility Modifier None Typical Low $37.15 Median $57.54 Typical High $147.91 | Facility | None | $37.15 | $57.54 | $147.91 |
Anthem BCBS Setting Professional Modifier None Typical Low $13.18 Median $53.70 Typical High $91.20 | Professional | None | $13.18 | $53.70 | $91.20 |
CareSource Setting Professional Modifier None Typical Low $51.29 Median $56.23 Typical High $57.54 | Professional | None | $51.29 | $56.23 | $57.54 |
Cigna Setting Facility Modifier None Typical Low $42.66 Median $83.18 Typical High $131.83 | Facility | None | $42.66 | $83.18 | $131.83 |
Cigna Setting Professional Modifier None Typical Low $21.88 Median $70.79 Typical High $169.82 | Professional | None | $21.88 | $70.79 | $169.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $42.66 Median $60.26 Typical High $158.49 | Professional | None | $42.66 | $60.26 | $158.49 |
Oscar Health Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $61.66 | Professional | None | $53.70 | $53.70 | $61.66 |
United Setting Professional Modifier None Typical Low $25.12 Median $36.31 Typical High $107.15 | Professional | None | $25.12 | $36.31 | $107.15 |
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 $14.13 Median $16.60 Typical High $20.42 | Professional | 52 · Reduced service | $14.13 | $16.60 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $6.61 Typical High $8.32 | Professional | 53 · Discontinued | $5.75 | $6.61 | $8.32 |
Where Georgia sits
The same service costs 4.2 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· 20th of 51
$51.29
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.