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 $3.63 Median $4.27 Typical High $7.94 | Facility | None | $3.63 | $4.27 | $7.94 |
Aetna Setting Professional Modifier None Typical Low $3.63 Median $4.27 Typical High $7.08 | Professional | None | $3.63 | $4.27 | $7.08 |
Ambetter Setting Professional Modifier None Typical Low $2.51 Median $4.27 Typical High $5.01 | Professional | None | $2.51 | $4.27 | $5.01 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.16 Median $5.01 Typical High $5.25 | Facility | None | $3.16 | $5.01 | $5.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.04 Median $2.69 Typical High $4.37 | Professional | None | $2.04 | $2.69 | $4.37 |
CareSource Setting Facility Modifier None Typical Low $5.01 Median $6.03 Typical High $7.24 | Facility | None | $5.01 | $6.03 | $7.24 |
CareSource Setting Professional Modifier None Typical Low $5.01 Median $5.75 Typical High $8.32 | Professional | None | $5.01 | $5.75 | $8.32 |
Cigna Setting Facility Modifier None Typical Low $3.89 Median $50.12 Typical High $50.12 | Facility | None | $3.89 | $50.12 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $2.14 Median $24.55 Typical High $24.55 | Professional | None | $2.14 | $24.55 | $24.55 |
United Setting Professional Modifier None Typical Low $2.09 Median $4.47 Typical High $5.01 | Professional | None | $2.09 | $4.47 | $5.01 |
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 $1.82 Median $2.14 Typical High $2.51 | Professional | 52 · Reduced service | $1.82 | $2.14 | $2.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.72 Median $0.85 Typical High $1.00 | Professional | 53 · Discontinued | $0.72 | $0.85 | $1.00 |
Where Kentucky sits
The same service costs 3.0 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
$3.72
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.