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 $6.03 Typical High $13.80 | Facility | None | $3.02 | $6.03 | $13.80 |
Aetna Setting Professional Modifier None Typical Low $3.02 Median $6.03 Typical High $9.55 | Professional | None | $3.02 | $6.03 | $9.55 |
Ambetter Setting Professional Modifier None Typical Low $1.45 Median $3.63 Typical High $8.91 | Professional | None | $1.45 | $3.63 | $8.91 |
Anthem BCBS Setting Facility Modifier None Typical Low $4.47 Median $7.24 Typical High $7.59 | Facility | None | $4.47 | $7.24 | $7.59 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.55 Median $6.17 Typical High $10.00 | Professional | None | $3.55 | $6.17 | $10.00 |
CareSource Setting Facility Modifier None Typical Low $7.24 Median $8.71 Typical High $10.00 | Facility | None | $7.24 | $8.71 | $10.00 |
CareSource Setting Professional Modifier None Typical Low $7.24 Median $8.32 Typical High $11.75 | Professional | None | $7.24 | $8.32 | $11.75 |
Cigna Setting Facility Modifier None Typical Low $6.17 Median $13.18 Typical High $15.14 | Facility | None | $6.17 | $13.18 | $15.14 |
Cigna Setting Professional Modifier None Typical Low $3.63 Median $47.86 Typical High $47.86 | Professional | None | $3.63 | $47.86 | $47.86 |
United Setting Professional Modifier None Typical Low $2.34 Median $6.03 Typical High $10.00 | Professional | None | $2.34 | $6.03 | $10.00 |
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 $3.02 Typical High $3.63 | Professional | 52 · Reduced service | $1.51 | $3.02 | $3.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.62 Median $1.20 Typical High $1.45 | Professional | 53 · Discontinued | $0.62 | $1.20 | $1.45 |
Where Kentucky sits
The same service costs 5.8 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· 40th of 51
$6.17
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.