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 $1.70 Median $1.91 Typical High $2.24 | Facility | None | $1.70 | $1.91 | $2.24 |
Aetna Setting Professional Modifier None Typical Low $1.70 Median $1.91 Typical High $2.24 | Professional | None | $1.70 | $1.91 | $2.24 |
Ambetter Setting Professional Modifier None Typical Low $2.45 Median $2.45 Typical High $2.45 | Professional | None | $2.45 | $2.45 | $2.45 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.62 Median $1.74 Typical High $3.31 | Professional | None | $1.62 | $1.74 | $3.31 |
Cigna Setting Professional Modifier None Typical Low $1.00 Median $5.01 Typical High $5.01 | Professional | None | $1.00 | $5.01 | $5.01 |
Kaiser Permanente Setting Professional Modifier None Typical Low $2.57 Median $2.82 Typical High $3.16 | Professional | None | $2.57 | $2.82 | $3.16 |
Oscar Health Setting Professional Modifier None Typical Low $2.34 Median $2.34 Typical High $2.51 | Professional | None | $2.34 | $2.34 | $2.51 |
United Setting Professional Modifier None Typical Low $2.14 Median $2.34 Typical High $4.79 | Professional | None | $2.14 | $2.34 | $4.79 |
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 $0.93 Median $0.93 Typical High $1.02 | Professional | 52 · Reduced service | $0.93 | $0.93 | $1.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.37 Median $0.37 Typical High $0.41 | Professional | 53 · Discontinued | $0.37 | $0.37 | $0.41 |
Where Georgia sits
The same service costs 2.2 times more in North Dakota than in Kentucky. 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· 46th of 51
$1.91
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.