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 $1.58 Median $4.27 Typical High $7.59 | Facility | None | $1.58 | $4.27 | $7.59 |
Aetna Setting Professional Modifier None Typical Low $1.58 Median $4.27 Typical High $6.76 | Professional | None | $1.58 | $4.27 | $6.76 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.16 Median $5.13 Typical High $5.37 | Facility | None | $3.16 | $5.13 | $5.37 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.98 Median $1.32 Typical High $2.51 | Professional | None | $0.98 | $1.32 | $2.51 |
CareSource Setting Facility Modifier None Typical Low $5.13 Median $6.17 Typical High $7.08 | Facility | None | $5.13 | $6.17 | $7.08 |
CareSource Setting Professional Modifier None Typical Low $5.13 Median $6.31 Typical High $10.23 | Professional | None | $5.13 | $6.31 | $10.23 |
Cigna Setting Facility Modifier None Typical Low $3.98 Median $9.33 Typical High $10.72 | Facility | None | $3.98 | $9.33 | $10.72 |
Cigna Setting Professional Modifier None Typical Low $2.63 Median $33.11 Typical High $33.11 | Professional | None | $2.63 | $33.11 | $33.11 |
United Setting Professional Modifier None Typical Low $0.98 Median $2.09 Typical High $6.17 | Professional | None | $0.98 | $2.09 | $6.17 |
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 $0.79 Median $2.14 Typical High $2.51 | Professional | 52 · Reduced service | $0.79 | $2.14 | $2.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.32 Median $0.85 Typical High $1.02 | Professional | 53 · Discontinued | $0.32 | $0.85 | $1.02 |
Where Kentucky sits
The same service costs 7.2 times more in Alaska 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
$1.58
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.