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 $6.76 Median $7.76 Typical High $13.80 | Facility | None | $6.76 | $7.76 | $13.80 |
Aetna Setting Professional Modifier None Typical Low $6.76 Median $7.76 Typical High $13.80 | Professional | None | $6.76 | $7.76 | $13.80 |
Ambetter Setting Professional Modifier None Typical Low $5.75 Median $11.75 Typical High $13.80 | Professional | None | $5.75 | $11.75 | $13.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $5.75 Median $9.33 Typical High $9.77 | Facility | None | $5.75 | $9.33 | $9.77 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.57 Median $7.94 Typical High $12.88 | Professional | None | $4.57 | $7.94 | $12.88 |
CareSource Setting Facility Modifier None Typical Low $9.33 Median $11.22 Typical High $13.18 | Facility | None | $9.33 | $11.22 | $13.18 |
CareSource Setting Professional Modifier None Typical Low $9.33 Median $10.72 Typical High $15.49 | Professional | None | $9.33 | $10.72 | $15.49 |
Cigna Setting Facility Modifier None Typical Low $7.24 Median $16.98 Typical High $19.50 | Facility | None | $7.24 | $16.98 | $19.50 |
Cigna Setting Professional Modifier None Typical Low $4.79 Median $60.26 Typical High $60.26 | Professional | None | $4.79 | $60.26 | $60.26 |
United Setting Professional Modifier None Typical Low $3.89 Median $7.76 Typical High $12.88 | Professional | None | $3.89 | $7.76 | $12.88 |
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 $3.39 Median $3.89 Typical High $4.68 | Professional | 52 · Reduced service | $3.39 | $3.89 | $4.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.35 Median $1.55 Typical High $1.86 | Professional | 53 · Discontinued | $1.35 | $1.55 | $1.86 |
Where Kentucky sits
The same service costs 12.9 times more in Vermont than in Maryland. 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
$7.94
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.