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 $2.29 Median $4.90 Typical High $8.71 | Facility | None | $2.29 | $4.90 | $8.71 |
Aetna Setting Professional Modifier None Typical Low $2.29 Median $4.90 Typical High $8.71 | Professional | None | $2.29 | $4.90 | $8.71 |
Ambetter Setting Professional Modifier None Typical Low $2.88 Median $4.90 Typical High $8.71 | Professional | None | $2.88 | $4.90 | $8.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.63 Median $5.75 Typical High $6.03 | Facility | None | $3.63 | $5.75 | $6.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.88 Median $4.90 Typical High $7.94 | Professional | None | $2.88 | $4.90 | $7.94 |
CareSource Setting Facility Modifier None Typical Low $5.75 Median $6.92 Typical High $8.13 | Facility | None | $5.75 | $6.92 | $8.13 |
CareSource Setting Professional Modifier None Typical Low $5.75 Median $6.61 Typical High $9.55 | Professional | None | $5.75 | $6.61 | $9.55 |
Cigna Setting Facility Modifier None Typical Low $5.01 Median $10.47 Typical High $12.30 | Facility | None | $5.01 | $10.47 | $12.30 |
Cigna Setting Professional Modifier None Typical Low $2.95 Median $52.48 Typical High $52.48 | Professional | None | $2.95 | $52.48 | $52.48 |
United Setting Professional Modifier None Typical Low $2.45 Median $4.79 Typical High $8.13 | Professional | None | $2.45 | $4.79 | $8.13 |
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 $1.15 Median $2.45 Typical High $2.88 | Professional | 52 · Reduced service | $1.15 | $2.45 | $2.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.46 Median $0.98 Typical High $1.15 | Professional | 53 · Discontinued | $0.46 | $0.98 | $1.15 |
Where Kentucky sits
The same service costs 12.9 times more in Vermont 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· 43rd of 51
$4.90
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.