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 $14.45 Median $15.14 Typical High $33.88 | Facility | None | $14.45 | $15.14 | $33.88 |
Aetna Setting Professional Modifier None Typical Low $10.00 Median $15.14 Typical High $19.50 | Professional | None | $10.00 | $15.14 | $19.50 |
Ambetter Setting Professional Modifier None Typical Low $8.91 Median $8.91 Typical High $8.91 | Professional | None | $8.91 | $8.91 | $8.91 |
Anthem BCBS Setting Facility Modifier None Typical Low $11.22 Median $17.78 Typical High $18.62 | Facility | None | $11.22 | $17.78 | $18.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.32 Median $14.79 Typical High $17.78 | Professional | None | $8.32 | $14.79 | $17.78 |
CareSource Setting Facility Modifier None Typical Low $17.78 Median $21.38 Typical High $25.12 | Facility | None | $17.78 | $21.38 | $25.12 |
CareSource Setting Professional Modifier None Typical Low $17.78 Median $20.42 Typical High $29.51 | Professional | None | $17.78 | $20.42 | $29.51 |
Cigna Setting Facility Modifier None Typical Low $13.80 Median $30.90 Typical High $38.02 | Facility | None | $13.80 | $30.90 | $38.02 |
Cigna Setting Professional Modifier None Typical Low $8.51 Median $109.65 Typical High $109.65 | Professional | None | $8.51 | $109.65 | $109.65 |
United Setting Professional Modifier None Typical Low $7.59 Median $14.13 Typical High $23.44 | Professional | None | $7.59 | $14.13 | $23.44 |
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 $7.24 Median $7.59 Typical High $9.55 | Professional | 52 · Reduced service | $7.24 | $7.59 | $9.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.88 Median $3.02 Typical High $3.80 | Professional | 53 · Discontinued | $2.88 | $3.02 | $3.80 |
Where Kentucky sits
The same service costs 10.2 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· 40th of 51
$15.14
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.