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 $1.29 Median $11.75 Typical High $26.92 | Facility | None | $1.29 | $11.75 | $26.92 |
Aetna Setting Professional Modifier None Typical Low $1.29 Median $11.75 Typical High $16.98 | Professional | None | $1.29 | $11.75 | $16.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $8.71 Median $14.13 Typical High $14.79 | Facility | None | $8.71 | $14.13 | $14.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.92 Median $12.02 Typical High $19.50 | Professional | None | $6.92 | $12.02 | $19.50 |
CareSource Setting Facility Modifier None Typical Low $14.13 Median $16.98 Typical High $19.95 | Facility | None | $14.13 | $16.98 | $19.95 |
CareSource Setting Professional Modifier None Typical Low $14.13 Median $16.22 Typical High $23.44 | Professional | None | $14.13 | $16.22 | $23.44 |
Cigna Setting Facility Modifier None Typical Low $10.96 Median $25.70 Typical High $30.20 | Facility | None | $10.96 | $25.70 | $30.20 |
Cigna Setting Professional Modifier None Typical Low $7.08 Median $95.50 Typical High $95.50 | Professional | None | $7.08 | $95.50 | $95.50 |
United Setting Professional Modifier None Typical Low $4.68 Median $11.75 Typical High $19.95 | Professional | None | $4.68 | $11.75 | $19.95 |
1 more rate 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 $0.65 Median $5.89 Typical High $7.08 | Professional | 52 · Reduced service | $0.65 | $5.89 | $7.08 |
Where Kentucky sits
The same service costs 7.4 times more in Vermont than in Nebraska. 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· 40th of 51
$12.02
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.