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 $7.94 Median $21.38 Typical High $47.86 | Facility | None | $7.94 | $21.38 | $47.86 |
Aetna Setting Professional Modifier None Typical Low $7.94 Median $21.38 Typical High $27.54 | Professional | None | $7.94 | $21.38 | $27.54 |
Ambetter Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | None | $21.38 | $21.38 | $21.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $15.85 Median $25.12 Typical High $26.30 | Facility | None | $15.85 | $25.12 | $26.30 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.59 Median $19.50 Typical High $34.67 | Professional | None | $12.59 | $19.50 | $34.67 |
CareSource Setting Facility Modifier None Typical Low $25.12 Median $30.20 Typical High $35.48 | Facility | None | $25.12 | $30.20 | $35.48 |
CareSource Setting Professional Modifier None Typical Low $25.12 Median $28.84 Typical High $41.69 | Professional | None | $25.12 | $28.84 | $41.69 |
Cigna Setting Facility Modifier None Typical Low $19.50 Median $45.71 Typical High $53.70 | Facility | None | $19.50 | $45.71 | $53.70 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $165.96 Typical High $165.96 | Professional | None | $12.88 | $165.96 | $165.96 |
United Setting Professional Modifier None Typical Low $10.72 Median $21.38 Typical High $34.67 | Professional | None | $10.72 | $21.38 | $34.67 |
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 $3.98 Median $10.72 Typical High $12.59 | Professional | 52 · Reduced service | $3.98 | $10.72 | $12.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.62 Median $4.27 Typical High $5.01 | Professional | 53 · Discontinued | $1.62 | $4.27 | $5.01 |
Where Kentucky sits
The same service costs 15.8 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· 41st of 51
$21.38
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.