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 $3.02 Median $4.17 Typical High $9.33 | Facility | None | $3.02 | $4.17 | $9.33 |
Aetna Setting Professional Modifier None Typical Low $3.02 Median $4.17 Typical High $7.41 | Professional | None | $3.02 | $4.17 | $7.41 |
Ambetter Setting Professional Modifier None Typical Low $6.31 Median $7.41 Typical High $100.00 | Professional | None | $6.31 | $7.41 | $100.00 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.09 Median $4.90 Typical High $5.25 | Facility | None | $3.09 | $4.90 | $5.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.69 Median $4.17 Typical High $6.92 | Professional | None | $2.69 | $4.17 | $6.92 |
CareSource Setting Facility Modifier None Typical Low $4.90 Median $5.89 Typical High $6.92 | Facility | None | $4.90 | $5.89 | $6.92 |
CareSource Setting Professional Modifier None Typical Low $4.90 Median $5.75 Typical High $8.13 | Professional | None | $4.90 | $5.75 | $8.13 |
Cigna Setting Facility Modifier None Typical Low $4.27 Median $8.91 Typical High $10.47 | Facility | None | $4.27 | $8.91 | $10.47 |
Cigna Setting Professional Modifier None Typical Low $2.45 Median $33.88 Typical High $33.88 | Professional | None | $2.45 | $33.88 | $33.88 |
United Setting Professional Modifier None Typical Low $2.09 Median $4.17 Typical High $6.92 | Professional | None | $2.09 | $4.17 | $6.92 |
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 $1.51 Median $2.09 Typical High $2.45 | Professional | 52 · Reduced service | $1.51 | $2.09 | $2.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.62 Median $0.83 Typical High $1.00 | Professional | 53 · Discontinued | $0.62 | $0.83 | $1.00 |
Where Kentucky sits
The same service costs 9.3 times more in Vermont than in Georgia. 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· 42nd of 51
$4.17
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.