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 $18.62 Median $19.50 Typical High $34.67 | Facility | None | $18.62 | $19.50 | $34.67 |
Aetna Setting Professional Modifier None Typical Low $18.20 Median $19.50 Typical High $22.91 | Professional | None | $18.20 | $19.50 | $22.91 |
Ambetter Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | None | $14.13 | $14.13 | $14.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $14.45 Median $22.91 Typical High $23.99 | Facility | None | $14.45 | $22.91 | $23.99 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.12 Median $9.12 Typical High $22.91 | Professional | None | $9.12 | $9.12 | $22.91 |
CareSource Setting Facility Modifier None Typical Low $22.91 Median $27.54 Typical High $32.36 | Facility | None | $22.91 | $27.54 | $32.36 |
CareSource Setting Professional Modifier None Typical Low $22.91 Median $26.30 Typical High $38.02 | Professional | None | $22.91 | $26.30 | $38.02 |
Cigna Setting Facility Modifier None Typical Low $17.78 Median $33.88 Typical High $48.98 | Facility | None | $17.78 | $33.88 | $48.98 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $109.65 Typical High $109.65 | Professional | None | $21.38 | $109.65 | $109.65 |
United Setting Professional Modifier None Typical Low $9.55 Median $13.80 Typical High $25.12 | Professional | None | $9.55 | $13.80 | $25.12 |
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 $9.33 Median $9.55 Typical High $11.48 | Professional | 52 · Reduced service | $9.33 | $9.55 | $11.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.72 Median $3.89 Typical High $4.57 | Professional | 53 · Discontinued | $3.72 | $3.89 | $4.57 |
Where Kentucky sits
The same service costs 9.8 times more in Vermont than in Kentucky. 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· 51st of 51
$15.85
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.