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 $2.45 Median $2.57 Typical High $3.47 | Facility | None | $2.45 | $2.57 | $3.47 |
Aetna Setting Professional Modifier None Typical Low $2.45 Median $2.69 Typical High $3.98 | Professional | None | $2.45 | $2.69 | $3.98 |
Ambetter Setting Professional Modifier None Typical Low $1.51 Median $1.51 Typical High $3.98 | Professional | None | $1.51 | $1.51 | $3.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $1.91 Median $3.02 Typical High $3.24 | Facility | None | $1.91 | $3.02 | $3.24 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.09 Median $3.02 Typical High $4.17 | Professional | None | $2.09 | $3.02 | $4.17 |
CareSource Setting Facility Modifier None Typical Low $3.02 Median $3.63 Typical High $4.27 | Facility | None | $3.02 | $3.63 | $4.27 |
CareSource Setting Professional Modifier None Typical Low $3.02 Median $3.55 Typical High $5.01 | Professional | None | $3.02 | $3.55 | $5.01 |
Cigna Setting Facility Modifier None Typical Low $2.34 Median $5.13 Typical High $6.46 | Facility | None | $2.34 | $5.13 | $6.46 |
Cigna Setting Professional Modifier None Typical Low $1.48 Median $19.05 Typical High $19.05 | Professional | None | $1.48 | $19.05 | $19.05 |
United Setting Professional Modifier None Typical Low $1.23 Median $3.63 Typical High $4.27 | Professional | None | $1.23 | $3.63 | $4.27 |
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 $1.23 Median $1.29 Typical High $1.74 | Professional | 52 · Reduced service | $1.23 | $1.29 | $1.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.49 Median $0.51 Typical High $0.69 | Professional | 53 · Discontinued | $0.49 | $0.51 | $0.69 |
Where Kentucky sits
The same service costs 13.5 times more in Vermont 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· 34th of 51
$3.02
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.