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 $1.29 Median $11.48 Typical High $25.70 | Facility | None | $1.29 | $11.48 | $25.70 |
Aetna Setting Professional Modifier None Typical Low $1.29 Median $11.48 Typical High $13.49 | Professional | None | $1.29 | $11.48 | $13.49 |
Ambetter Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | None | $16.98 | $16.98 | $16.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $8.51 Median $13.49 Typical High $14.45 | Facility | None | $8.51 | $13.49 | $14.45 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.76 Median $11.48 Typical High $18.62 | Professional | None | $6.76 | $11.48 | $18.62 |
CareSource Setting Facility Modifier None Typical Low $13.49 Median $16.22 Typical High $19.05 | Facility | None | $13.49 | $16.22 | $19.05 |
CareSource Setting Professional Modifier None Typical Low $13.49 Median $15.49 Typical High $22.39 | Professional | None | $13.49 | $15.49 | $22.39 |
Cigna Setting Facility Modifier None Typical Low $10.47 Median $24.55 Typical High $28.84 | Facility | None | $10.47 | $24.55 | $28.84 |
Cigna Setting Professional Modifier None Typical Low $6.92 Median $91.20 Typical High $91.20 | Professional | None | $6.92 | $91.20 | $91.20 |
United Setting Professional Modifier None Typical Low $4.47 Median $11.48 Typical High $18.62 | Professional | None | $4.47 | $11.48 | $18.62 |
1 more rate 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 $0.65 Median $5.75 Typical High $6.76 | Professional | 52 · Reduced service | $0.65 | $5.75 | $6.76 |
Where Kentucky sits
The same service costs 4.6 times more in Alaska than in Nebraska. 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· 37th of 51
$11.48
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.