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 $19.05 Median $32.36 Typical High $74.13 | Facility | None | $19.05 | $32.36 | $74.13 |
Aetna Setting Professional Modifier None Typical Low $19.05 Median $32.36 Typical High $41.69 | Professional | None | $19.05 | $32.36 | $41.69 |
Ambetter Setting Professional Modifier None Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | None | $23.44 | $23.44 | $23.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $23.99 Median $38.90 Typical High $40.74 | Facility | None | $23.99 | $38.90 | $40.74 |
Anthem BCBS Setting Professional Modifier None Typical Low $19.05 Median $28.18 Typical High $45.71 | Professional | None | $19.05 | $28.18 | $45.71 |
CareSource Setting Facility Modifier None Typical Low $38.90 Median $46.77 Typical High $53.70 | Facility | None | $38.90 | $46.77 | $53.70 |
CareSource Setting Professional Modifier None Typical Low $38.90 Median $44.67 Typical High $63.10 | Professional | None | $38.90 | $44.67 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $30.20 Median $70.79 Typical High $81.28 | Facility | None | $30.20 | $70.79 | $81.28 |
Cigna Setting Professional Modifier None Typical Low $19.50 Median $257.04 Typical High $257.04 | Professional | None | $19.50 | $257.04 | $257.04 |
United Setting Professional Modifier None Typical Low $16.22 Median $27.54 Typical High $50.12 | Professional | None | $16.22 | $27.54 | $50.12 |
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 $9.55 Median $16.22 Typical High $19.50 | Professional | 52 · Reduced service | $9.55 | $16.22 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.80 Median $6.46 Typical High $7.76 | Professional | 53 · Discontinued | $3.80 | $6.46 | $7.76 |
Where Kentucky sits
The same service costs 4.7 times more in Alaska than in Alabama. 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· 50th of 51
$28.84
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.