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 $14.13 Median $14.45 Typical High $25.70 | Facility | None | $14.13 | $14.45 | $25.70 |
Aetna Setting Professional Modifier None Typical Low $12.02 Median $14.45 Typical High $17.38 | Professional | None | $12.02 | $14.45 | $17.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.72 Median $17.38 Typical High $18.20 | Facility | None | $10.72 | $17.38 | $18.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.92 Median $6.92 Typical High $17.38 | Professional | None | $6.92 | $6.92 | $17.38 |
CareSource Setting Facility Modifier None Typical Low $17.38 Median $20.89 Typical High $23.99 | Facility | None | $17.38 | $20.89 | $23.99 |
CareSource Setting Professional Modifier None Typical Low $17.38 Median $19.95 Typical High $28.18 | Professional | None | $17.38 | $19.95 | $28.18 |
Cigna Setting Facility Modifier None Typical Low $13.49 Median $25.12 Typical High $36.31 | Facility | None | $13.49 | $25.12 | $36.31 |
Cigna Setting Professional Modifier None Typical Low $16.22 Median $83.18 Typical High $83.18 | Professional | None | $16.22 | $83.18 | $83.18 |
United Setting Professional Modifier None Typical Low $7.24 Median $10.47 Typical High $19.05 | Professional | None | $7.24 | $10.47 | $19.05 |
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 $7.08 Median $7.24 Typical High $8.71 | Professional | 52 · Reduced service | $7.08 | $7.24 | $8.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.82 Median $2.88 Typical High $3.47 | Professional | 53 · Discontinued | $2.82 | $2.88 | $3.47 |
Where Kentucky sits
The same service costs 4.0 times more in Alaska 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· 50th of 51
$12.02
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.