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 $4.07 Typical High $9.33 | Facility | None | $3.02 | $4.07 | $9.33 |
Aetna Setting Professional Modifier None Typical Low $3.02 Median $4.07 Typical High $4.90 | Professional | None | $3.02 | $4.07 | $4.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.02 Median $4.90 Typical High $5.13 | Facility | None | $3.02 | $4.90 | $5.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.40 Median $4.17 Typical High $6.76 | Professional | None | $2.40 | $4.17 | $6.76 |
CareSource Setting Facility Modifier None Typical Low $4.90 Median $5.89 Typical High $6.76 | Facility | None | $4.90 | $5.89 | $6.76 |
CareSource Setting Professional Modifier None Typical Low $4.90 Median $5.62 Typical High $8.13 | Professional | None | $4.90 | $5.62 | $8.13 |
Cigna Setting Facility Modifier None Typical Low $4.27 Median $8.91 Typical High $10.23 | Facility | None | $4.27 | $8.91 | $10.23 |
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 $2.04 Median $4.07 Typical High $6.61 | Professional | None | $2.04 | $4.07 | $6.61 |
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 $2.04 Typical High $2.45 | Professional | 52 · Reduced service | $1.51 | $2.04 | $2.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.62 Median $0.81 Typical High $0.98 | Professional | 53 · Discontinued | $0.62 | $0.81 | $0.98 |
Where Kentucky sits
The same service costs 4.7 times more in Minnesota than in Indiana. 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· 38th 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.