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 $57.54 Median $77.62 Typical High $138.04 | Facility | None | $57.54 | $77.62 | $138.04 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $74.13 Typical High $91.20 | Professional | None | $64.57 | $74.13 | $91.20 |
Ambetter Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | None | $63.10 | $63.10 | $63.10 |
Anthem BCBS Setting Facility Modifier None Typical Low $57.54 Median $91.20 Typical High $95.50 | Facility | None | $57.54 | $91.20 | $95.50 |
Anthem BCBS Setting Professional Modifier None Typical Low $33.11 Median $43.65 Typical High $107.15 | Professional | None | $33.11 | $43.65 | $107.15 |
CareSource Setting Facility Modifier None Typical Low $91.20 Median $123.03 Typical High $128.82 | Facility | None | $91.20 | $123.03 | $128.82 |
CareSource Setting Professional Modifier None Typical Low $91.20 Median $120.23 Typical High $151.36 | Professional | None | $91.20 | $120.23 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $199.53 Typical High $218.78 | Facility | None | $70.79 | $199.53 | $218.78 |
Cigna Setting Professional Modifier None Typical Low $66.07 Median $446.68 Typical High $446.68 | Professional | None | $66.07 | $446.68 | $446.68 |
United Setting Professional Modifier None Typical Low $50.12 Median $75.86 Typical High $154.88 | Professional | None | $50.12 | $75.86 | $154.88 |
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 $32.36 Median $37.15 Typical High $45.71 | Professional | 52 · Reduced service | $32.36 | $37.15 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $14.79 Typical High $18.20 | Professional | 53 · Discontinued | $12.88 | $14.79 | $18.20 |
Where Kentucky sits
The same service costs 3.2 times more in Alaska than in Connecticut. 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· 38th of 51
$75.86
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.