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 $8.91 Median $17.38 Typical High $25.70 | Facility | None | $8.91 | $17.38 | $25.70 |
Aetna Setting Professional Modifier None Typical Low $8.91 Median $17.38 Typical High $29.51 | Professional | None | $8.91 | $17.38 | $29.51 |
Ambetter Setting Professional Modifier None Typical Low $4.17 Median $10.47 Typical High $31.62 | Professional | None | $4.17 | $10.47 | $31.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $12.88 Median $20.89 Typical High $21.88 | Facility | None | $12.88 | $20.89 | $21.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.23 Median $17.78 Typical High $28.84 | Professional | None | $10.23 | $17.78 | $28.84 |
CareSource Setting Facility Modifier None Typical Low $20.89 Median $25.12 Typical High $29.51 | Facility | None | $20.89 | $25.12 | $29.51 |
CareSource Setting Professional Modifier None Typical Low $20.89 Median $23.99 Typical High $34.67 | Professional | None | $20.89 | $23.99 | $34.67 |
Cigna Setting Facility Modifier None Typical Low $16.22 Median $38.02 Typical High $44.67 | Facility | None | $16.22 | $38.02 | $44.67 |
Cigna Setting Professional Modifier None Typical Low $10.47 Median $128.82 Typical High $128.82 | Professional | None | $10.47 | $128.82 | $128.82 |
United Setting Professional Modifier None Typical Low $8.71 Median $17.38 Typical High $28.84 | Professional | None | $8.71 | $17.38 | $28.84 |
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 $4.47 Median $8.71 Typical High $10.47 | Professional | 52 · Reduced service | $4.47 | $8.71 | $10.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.78 Median $3.47 Typical High $4.17 | Professional | 53 · Discontinued | $1.78 | $3.47 | $4.17 |
Where Kentucky sits
The same service costs 7.9 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· 42nd of 51
$17.78
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.