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 $4.07 Median $4.27 Typical High $7.59 | Facility | None | $4.07 | $4.27 | $7.59 |
Aetna Setting Professional Modifier None Typical Low $3.55 Median $4.47 Typical High $7.59 | Professional | None | $3.55 | $4.47 | $7.59 |
Ambetter Setting Professional Modifier None Typical Low $1.00 Median $2.51 Typical High $7.59 | Professional | None | $1.00 | $2.51 | $7.59 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.09 Median $5.01 Typical High $5.25 | Facility | None | $3.09 | $5.01 | $5.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.45 Median $4.27 Typical High $7.08 | Professional | None | $2.45 | $4.27 | $7.08 |
CareSource Setting Facility Modifier None Typical Low $5.01 Median $6.03 Typical High $7.24 | Facility | None | $5.01 | $6.03 | $7.24 |
CareSource Setting Professional Modifier None Typical Low $5.01 Median $5.75 Typical High $8.32 | Professional | None | $5.01 | $5.75 | $8.32 |
Cigna Setting Facility Modifier None Typical Low $3.89 Median $9.12 Typical High $10.72 | Facility | None | $3.89 | $9.12 | $10.72 |
Cigna Setting Professional Modifier None Typical Low $2.45 Median $28.18 Typical High $28.18 | Professional | None | $2.45 | $28.18 | $28.18 |
United Setting Professional Modifier None Typical Low $2.09 Median $4.17 Typical High $7.08 | Professional | None | $2.09 | $4.17 | $7.08 |
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 $2.04 Median $2.09 Typical High $2.57 | Professional | 52 · Reduced service | $2.04 | $2.09 | $2.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.81 Median $0.83 Typical High $1.02 | Professional | 53 · Discontinued | $0.81 | $0.83 | $1.02 |
Where Kentucky sits
The same service costs 8.9 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· 46th of 51
$4.27
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.