How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $1.78 Median $1.82 Typical High $2.45 | Facility | None | $1.78 | $1.82 | $2.45 |
Aetna Setting Professional Modifier None Typical Low $1.78 Median $2.00 Typical High $2.57 | Professional | None | $1.78 | $2.00 | $2.57 |
Ambetter Setting Professional Modifier None Typical Low $1.82 Median $1.82 Typical High $1.82 | Professional | None | $1.82 | $1.82 | $1.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $1.35 Median $2.19 Typical High $2.29 | Facility | None | $1.35 | $2.19 | $2.29 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.07 Median $2.04 Typical High $3.02 | Professional | None | $1.07 | $2.04 | $3.02 |
CareSource Setting Facility Modifier None Typical Low $2.19 Median $2.57 Typical High $3.02 | Facility | None | $2.19 | $2.57 | $3.02 |
CareSource Setting Professional Modifier None Typical Low $2.19 Median $2.69 Typical High $4.37 | Professional | None | $2.19 | $2.69 | $4.37 |
Cigna Setting Facility Modifier None Typical Low $1.70 Median $3.63 Typical High $4.57 | Facility | None | $1.70 | $3.63 | $4.57 |
Cigna Setting Professional Modifier None Typical Low $1.15 Median $13.49 Typical High $13.49 | Professional | None | $1.15 | $13.49 | $13.49 |
United Setting Professional Modifier None Typical Low $0.98 Median $2.29 Typical High $3.09 | Professional | None | $0.98 | $2.29 | $3.09 |
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 $0.87 Median $0.91 Typical High $1.23 | Professional | 52 · Reduced service | $0.87 | $0.91 | $1.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.35 Median $0.36 Typical High $0.49 | Professional | 53 · Discontinued | $0.35 | $0.36 | $0.49 |
Where Kentucky sits
The same service costs 3.2 times more in Kansas than in Washington, DC. 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· 41st of 51
$2.04
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.