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 $13.49 Median $13.49 Typical High $37.15 | Facility | None | $13.49 | $13.49 | $37.15 |
Aetna Setting Professional Modifier None Typical Low $13.49 Median $18.62 Typical High $51.29 | Professional | None | $13.49 | $18.62 | $51.29 |
Ambetter Setting Professional Modifier None Typical Low $20.42 Median $38.90 Typical High $95.50 | Professional | None | $20.42 | $38.90 | $95.50 |
Anthem BCBS Setting Facility Modifier None Typical Low $17.38 Median $27.54 Typical High $70.79 | Facility | None | $17.38 | $27.54 | $70.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $11.48 Median $32.36 Typical High $47.86 | Professional | None | $11.48 | $32.36 | $47.86 |
CareSource Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $27.54 | Professional | None | $24.55 | $24.55 | $27.54 |
Cigna Setting Facility Modifier None Typical Low $20.42 Median $44.67 Typical High $63.10 | Facility | None | $20.42 | $44.67 | $63.10 |
Cigna Setting Professional Modifier None Typical Low $10.23 Median $33.11 Typical High $79.43 | Professional | None | $10.23 | $33.11 | $79.43 |
Kaiser Permanente Setting Professional Modifier None Typical Low $18.20 Median $26.30 Typical High $64.57 | Professional | None | $18.20 | $26.30 | $64.57 |
Oscar Health Setting Professional Modifier None Typical Low $19.50 Median $25.12 Typical High $43.65 | Professional | None | $19.50 | $25.12 | $43.65 |
United Setting Professional Modifier None Typical Low $17.38 Median $28.84 Typical High $64.57 | Professional | None | $17.38 | $28.84 | $64.57 |
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 $6.76 Median $6.76 Typical High $9.77 | Professional | 52 · Reduced service | $6.76 | $6.76 | $9.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.69 Median $2.69 Typical High $3.89 | Professional | 53 · Discontinued | $2.69 | $2.69 | $3.89 |
Where Georgia sits
The same service costs 4.6 times more in Vermont than in Illinois. 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· 24th of 51
$28.18
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.