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 $0.11 Median $0.11 Typical High $0.11 | Facility | None | $0.11 | $0.11 | $0.11 |
Aetna Setting Professional Modifier None Typical Low $0.11 Median $0.11 Typical High $0.21 | Professional | None | $0.11 | $0.11 | $0.21 |
Anthem BCBS Setting Facility Modifier None Typical Low $0.11 Median $0.20 Typical High $0.60 | Facility | None | $0.11 | $0.20 | $0.60 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.06 Median $0.11 Typical High $0.11 | Professional | None | $0.06 | $0.11 | $0.11 |
Cigna Setting Facility Modifier None Typical Low $0.12 Median $0.21 Typical High $0.31 | Facility | None | $0.12 | $0.21 | $0.31 |
Cigna Setting Professional Modifier None Typical Low $0.11 Median $0.11 Typical High $0.11 | Professional | None | $0.11 | $0.11 | $0.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $0.08 Median $1.00 Typical High $2.00 | Professional | None | $0.08 | $1.00 | $2.00 |
United Setting Professional Modifier None Typical Low $0.10 Median $0.10 Typical High $0.18 | Professional | None | $0.10 | $0.10 | $0.18 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier JZ · No drug discarded Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | JZ · No drug discarded | $14.13 | $14.13 | $14.13 |
Where Georgia sits
The same service costs 14.8 times more in Wyoming than in Rhode Island. 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· 31st of 51
$0.11
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.