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 $8.32 Median $18.62 Typical High $41.69 | Facility | None | $8.32 | $18.62 | $41.69 |
Aetna Setting Professional Modifier None Typical Low $8.32 Median $17.78 Typical High $22.39 | Professional | None | $8.32 | $17.78 | $22.39 |
Anthem BCBS Setting Facility Modifier None Typical Low $13.80 Median $22.39 Typical High $23.44 | Facility | None | $13.80 | $22.39 | $23.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.91 Median $15.49 Typical High $25.12 | Professional | None | $8.91 | $15.49 | $25.12 |
CareSource Setting Facility Modifier None Typical Low $22.39 Median $26.30 Typical High $30.90 | Facility | None | $22.39 | $26.30 | $30.90 |
CareSource Setting Professional Modifier None Typical Low $22.39 Median $27.54 Typical High $44.67 | Professional | None | $22.39 | $27.54 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $17.38 Median $33.11 Typical High $46.77 | Facility | None | $17.38 | $33.11 | $46.77 |
Cigna Setting Professional Modifier None Typical Low $10.23 Median $120.23 Typical High $120.23 | Professional | None | $10.23 | $120.23 | $120.23 |
United Setting Professional Modifier None Typical Low $9.33 Median $15.14 Typical High $25.12 | Professional | None | $9.33 | $15.14 | $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 $4.17 Median $9.33 Typical High $10.96 | Professional | 52 · Reduced service | $4.17 | $9.33 | $10.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.66 Median $3.72 Typical High $4.47 | Professional | 53 · Discontinued | $1.66 | $3.72 | $4.47 |
Where Kentucky sits
The same service costs 5.0 times more in Alaska than in Georgia. 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· 50th of 51
$15.49
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.