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 $8.13 Median $18.20 Typical High $41.69 | Facility | None | $8.13 | $18.20 | $41.69 |
Aetna Setting Professional Modifier None Typical Low $8.13 Median $18.20 Typical High $28.84 | Professional | None | $8.13 | $18.20 | $28.84 |
Ambetter Setting Professional Modifier None Typical Low $4.37 Median $13.18 Typical High $32.36 | Professional | None | $4.37 | $13.18 | $32.36 |
Anthem BCBS Setting Facility Modifier None Typical Low $13.49 Median $21.88 Typical High $22.91 | Facility | None | $13.49 | $21.88 | $22.91 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.72 Median $18.62 Typical High $30.20 | Professional | None | $10.72 | $18.62 | $30.20 |
CareSource Setting Facility Modifier None Typical Low $21.88 Median $26.30 Typical High $30.20 | Facility | None | $21.88 | $26.30 | $30.20 |
CareSource Setting Professional Modifier None Typical Low $21.88 Median $25.12 Typical High $35.48 | Professional | None | $21.88 | $25.12 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $16.98 Median $39.81 Typical High $45.71 | Facility | None | $16.98 | $39.81 | $45.71 |
Cigna Setting Professional Modifier None Typical Low $10.96 Median $128.82 Typical High $128.82 | Professional | None | $10.96 | $128.82 | $128.82 |
United Setting Professional Modifier None Typical Low $7.08 Median $18.20 Typical High $30.20 | Professional | None | $7.08 | $18.20 | $30.20 |
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 $4.07 Median $9.12 Typical High $10.96 | Professional | 52 · Reduced service | $4.07 | $9.12 | $10.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.62 Median $3.63 Typical High $4.37 | Professional | 53 · Discontinued | $1.62 | $3.63 | $4.37 |
Where Kentucky sits
The same service costs 4.8 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· 38th of 51
$18.62
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.