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 $13.18 Median $23.44 Typical High $41.69 | Facility | None | $13.18 | $23.44 | $41.69 |
Aetna Setting Professional Modifier None Typical Low $13.18 Median $23.44 Typical High $42.66 | Professional | None | $13.18 | $23.44 | $42.66 |
Ambetter Setting Professional Modifier None Typical Low $5.62 Median $14.13 Typical High $41.69 | Professional | None | $5.62 | $14.13 | $41.69 |
Anthem BCBS Setting Facility Modifier None Typical Low $17.38 Median $28.18 Typical High $29.51 | Facility | None | $17.38 | $28.18 | $29.51 |
Anthem BCBS Setting Professional Modifier None Typical Low $13.80 Median $23.99 Typical High $38.90 | Professional | None | $13.80 | $23.99 | $38.90 |
CareSource Setting Facility Modifier None Typical Low $28.18 Median $33.88 Typical High $38.90 | Facility | None | $28.18 | $33.88 | $38.90 |
CareSource Setting Professional Modifier None Typical Low $28.18 Median $32.36 Typical High $45.71 | Professional | None | $28.18 | $32.36 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $21.88 Median $50.12 Typical High $58.88 | Facility | None | $21.88 | $50.12 | $58.88 |
Cigna Setting Professional Modifier None Typical Low $14.13 Median $186.21 Typical High $186.21 | Professional | None | $14.13 | $186.21 | $186.21 |
United Setting Professional Modifier None Typical Low $11.75 Median $23.44 Typical High $38.02 | Professional | None | $11.75 | $23.44 | $38.02 |
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 $6.61 Median $11.75 Typical High $14.13 | Professional | 52 · Reduced service | $6.61 | $11.75 | $14.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.69 Median $4.68 Typical High $5.62 | Professional | 53 · Discontinued | $2.69 | $4.68 | $5.62 |
Where Kentucky sits
The same service costs 7.8 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· 44th of 51
$23.99
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.