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 $1.82 Median $3.31 Typical High $7.41 | Facility | None | $1.82 | $3.31 | $7.41 |
Aetna Setting Professional Modifier None Typical Low $1.82 Median $3.31 Typical High $5.13 | Professional | None | $1.82 | $3.31 | $5.13 |
Ambetter Setting Professional Modifier None Typical Low $2.40 Median $4.90 Typical High $4.90 | Professional | None | $2.40 | $4.90 | $4.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $2.45 Median $3.89 Typical High $4.07 | Facility | None | $2.45 | $3.89 | $4.07 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.95 Median $3.31 Typical High $5.50 | Professional | None | $1.95 | $3.31 | $5.50 |
CareSource Setting Facility Modifier None Typical Low $3.89 Median $4.68 Typical High $5.50 | Facility | None | $3.89 | $4.68 | $5.50 |
CareSource Setting Professional Modifier None Typical Low $3.89 Median $4.47 Typical High $6.46 | Professional | None | $3.89 | $4.47 | $6.46 |
Cigna Setting Facility Modifier None Typical Low $3.39 Median $7.08 Typical High $8.32 | Facility | None | $3.39 | $7.08 | $8.32 |
Cigna Setting Professional Modifier None Typical Low $2.00 Median $26.30 Typical High $26.30 | Professional | None | $2.00 | $26.30 | $26.30 |
United Setting Professional Modifier None Typical Low $1.78 Median $4.68 Typical High $5.62 | Professional | None | $1.78 | $4.68 | $5.62 |
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 $0.89 Median $1.66 Typical High $1.95 | Professional | 52 · Reduced service | $0.89 | $1.66 | $1.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.36 Median $0.66 Typical High $0.78 | Professional | 53 · Discontinued | $0.36 | $0.66 | $0.78 |
Where Kentucky sits
The same service costs 8.1 times more in Vermont than in New Jersey. 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· 44th of 51
$3.55
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.