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 $9.55 Median $14.13 Typical High $31.62 | Facility | None | $9.55 | $14.13 | $31.62 |
Aetna Setting Professional Modifier None Typical Low $9.55 Median $14.13 Typical High $21.88 | Professional | None | $9.55 | $14.13 | $21.88 |
Ambetter Setting Professional Modifier None Typical Low $10.23 Median $20.89 Typical High $20.89 | Professional | None | $10.23 | $20.89 | $20.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.47 Median $16.60 Typical High $17.78 | Facility | None | $10.47 | $16.60 | $17.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.32 Median $14.13 Typical High $23.44 | Professional | None | $8.32 | $14.13 | $23.44 |
CareSource Setting Facility Modifier None Typical Low $16.60 Median $19.95 Typical High $23.44 | Facility | None | $16.60 | $19.95 | $23.44 |
CareSource Setting Professional Modifier None Typical Low $16.60 Median $19.50 Typical High $27.54 | Professional | None | $16.60 | $19.50 | $27.54 |
Cigna Setting Facility Modifier None Typical Low $13.18 Median $30.20 Typical High $35.48 | Facility | None | $13.18 | $30.20 | $35.48 |
Cigna Setting Professional Modifier None Typical Low $8.51 Median $109.65 Typical High $109.65 | Professional | None | $8.51 | $109.65 | $109.65 |
United Setting Professional Modifier None Typical Low $7.08 Median $14.13 Typical High $22.91 | Professional | None | $7.08 | $14.13 | $22.91 |
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 $4.79 Median $7.08 Typical High $8.32 | Professional | 52 · Reduced service | $4.79 | $7.08 | $8.32 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.95 Median $2.82 Typical High $3.39 | Professional | 53 · Discontinued | $1.95 | $2.82 | $3.39 |
Where Kentucky sits
The same service costs 7.9 times more in Vermont than in Maryland. 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· 44th of 51
$14.13
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.