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 $3.02 Median $3.98 Typical High $9.12 | Facility | None | $3.02 | $3.98 | $9.12 |
Aetna Setting Professional Modifier None Typical Low $3.02 Median $3.98 Typical High $7.24 | Professional | None | $3.02 | $3.98 | $7.24 |
Ambetter Setting Professional Modifier None Typical Low $5.89 Median $5.89 Typical High $7.08 | Professional | None | $5.89 | $5.89 | $7.08 |
Anthem BCBS Setting Facility Modifier None Typical Low $2.95 Median $4.79 Typical High $5.01 | Facility | None | $2.95 | $4.79 | $5.01 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.34 Median $4.07 Typical High $6.61 | Professional | None | $2.34 | $4.07 | $6.61 |
CareSource Setting Facility Modifier None Typical Low $4.79 Median $5.75 Typical High $6.76 | Facility | None | $4.79 | $5.75 | $6.76 |
CareSource Setting Professional Modifier None Typical Low $4.79 Median $5.50 Typical High $7.76 | Professional | None | $4.79 | $5.50 | $7.76 |
Cigna Setting Facility Modifier None Typical Low $4.07 Median $8.71 Typical High $10.00 | Facility | None | $4.07 | $8.71 | $10.00 |
Cigna Setting Professional Modifier None Typical Low $2.45 Median $32.36 Typical High $32.36 | Professional | None | $2.45 | $32.36 | $32.36 |
United Setting Professional Modifier None Typical Low $2.09 Median $5.75 Typical High $6.76 | Professional | None | $2.09 | $5.75 | $6.76 |
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 $1.51 Median $2.00 Typical High $2.40 | Professional | 52 · Reduced service | $1.51 | $2.00 | $2.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.62 Median $0.79 Typical High $0.95 | Professional | 53 · Discontinued | $0.62 | $0.79 | $0.95 |
Where Kentucky sits
The same service costs 12.9 times more in Vermont than in Washington, DC. 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· 46th of 51
$4.27
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.