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 $2.95 Median $3.09 Typical High $6.92 | Facility | None | $2.95 | $3.09 | $6.92 |
Aetna Setting Professional Modifier None Typical Low $2.75 Median $3.09 Typical High $4.27 | Professional | None | $2.75 | $3.09 | $4.27 |
Ambetter Setting Professional Modifier None Typical Low $2.24 Median $2.24 Typical High $2.24 | Professional | None | $2.24 | $2.24 | $2.24 |
Anthem BCBS Setting Facility Modifier None Typical Low $2.29 Median $3.63 Typical High $3.89 | Facility | None | $2.29 | $3.63 | $3.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.82 Median $3.09 Typical High $5.13 | Professional | None | $1.82 | $3.09 | $5.13 |
CareSource Setting Facility Modifier None Typical Low $3.63 Median $4.37 Typical High $5.13 | Facility | None | $3.63 | $4.37 | $5.13 |
CareSource Setting Professional Modifier None Typical Low $3.63 Median $4.27 Typical High $6.03 | Professional | None | $3.63 | $4.27 | $6.03 |
Cigna Setting Facility Modifier None Typical Low $3.16 Median $6.61 Typical High $7.76 | Facility | None | $3.16 | $6.61 | $7.76 |
Cigna Setting Professional Modifier None Typical Low $1.82 Median $26.30 Typical High $26.30 | Professional | None | $1.82 | $26.30 | $26.30 |
United Setting Professional Modifier None Typical Low $1.55 Median $3.09 Typical High $5.13 | Professional | None | $1.55 | $3.09 | $5.13 |
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 $1.48 Median $1.55 Typical High $1.82 | Professional | 52 · Reduced service | $1.48 | $1.55 | $1.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.59 Median $0.62 Typical High $0.72 | Professional | 53 · Discontinued | $0.59 | $0.62 | $0.72 |
Where Kentucky sits
The same service costs 10.2 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· 44th of 51
$3.09
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.