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 $3.39 Median $6.76 Typical High $15.14 | Facility | None | $3.39 | $6.76 | $15.14 |
Aetna Setting Professional Modifier None Typical Low $3.39 Median $6.76 Typical High $7.94 | Professional | None | $3.39 | $6.76 | $7.94 |
Anthem BCBS Setting Facility Modifier None Typical Low $5.01 Median $7.94 Typical High $8.51 | Facility | None | $5.01 | $7.94 | $8.51 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.98 Median $7.59 Typical High $42.66 | Professional | None | $3.98 | $7.59 | $42.66 |
CareSource Setting Facility Modifier None Typical Low $7.94 Median $9.55 Typical High $11.22 | Facility | None | $7.94 | $9.55 | $11.22 |
CareSource Setting Professional Modifier None Typical Low $7.94 Median $9.12 Typical High $13.18 | Professional | None | $7.94 | $9.12 | $13.18 |
Cigna Setting Facility Modifier None Typical Low $6.31 Median $14.45 Typical High $16.98 | Facility | None | $6.31 | $14.45 | $16.98 |
Cigna Setting Professional Modifier None Typical Low $4.17 Median $141.25 Typical High $141.25 | Professional | None | $4.17 | $141.25 | $141.25 |
United Setting Professional Modifier None Typical Low $3.39 Median $6.46 Typical High $10.72 | Professional | None | $3.39 | $6.46 | $10.72 |
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 $1.70 Median $3.39 Typical High $3.98 | Professional | 52 · Reduced service | $1.70 | $3.39 | $3.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.68 Median $1.35 Typical High $1.58 | Professional | 53 · Discontinued | $0.68 | $1.35 | $1.58 |
Where Kentucky sits
The same service costs 3.6 times more in Alaska 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· 32nd of 51
$7.41
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.