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 $5.13 Median $6.92 Typical High $12.30 | Facility | None | $5.13 | $6.92 | $12.30 |
Aetna Setting Professional Modifier None Typical Low $5.13 Median $6.92 Typical High $11.48 | Professional | None | $5.13 | $6.92 | $11.48 |
Ambetter Setting Professional Modifier None Typical Low $1.62 Median $4.07 Typical High $12.30 | Professional | None | $1.62 | $4.07 | $12.30 |
Anthem BCBS Setting Facility Modifier None Typical Low $5.13 Median $8.13 Typical High $8.51 | Facility | None | $5.13 | $8.13 | $8.51 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.07 Median $5.75 Typical High $8.51 | Professional | None | $4.07 | $5.75 | $8.51 |
CareSource Setting Facility Modifier None Typical Low $8.13 Median $9.77 Typical High $11.48 | Facility | None | $8.13 | $9.77 | $11.48 |
CareSource Setting Professional Modifier None Typical Low $8.13 Median $9.33 Typical High $13.49 | Professional | None | $8.13 | $9.33 | $13.49 |
Cigna Setting Facility Modifier None Typical Low $6.31 Median $13.80 Typical High $17.38 | Facility | None | $6.31 | $13.80 | $17.38 |
Cigna Setting Professional Modifier None Typical Low $4.17 Median $41.69 Typical High $41.69 | Professional | None | $4.17 | $41.69 | $41.69 |
United Setting Professional Modifier None Typical Low $3.47 Median $5.62 Typical High $10.96 | Professional | None | $3.47 | $5.62 | $10.96 |
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 $2.57 Median $3.47 Typical High $4.07 | Professional | 52 · Reduced service | $2.57 | $3.47 | $4.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.02 Median $1.38 Typical High $1.62 | Professional | 53 · Discontinued | $1.02 | $1.38 | $1.62 |
Where Kentucky sits
The same service costs 17.0 times more in Vermont 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.
Kentucky· 51st of 51
$5.89
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.