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 $3.02 Median $4.27 Typical High $9.55 | Facility | None | $3.02 | $4.27 | $9.55 |
Aetna Setting Professional Modifier None Typical Low $3.02 Median $4.27 Typical High $5.75 | Professional | None | $3.02 | $4.27 | $5.75 |
Ambetter Setting Professional Modifier None Typical Low $3.09 Median $3.09 Typical High $3.09 | Professional | None | $3.09 | $3.09 | $3.09 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.16 Median $5.01 Typical High $5.37 | Facility | None | $3.16 | $5.01 | $5.37 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.40 Median $4.17 Typical High $6.76 | Professional | None | $2.40 | $4.17 | $6.76 |
CareSource Setting Facility Modifier None Typical Low $5.01 Median $6.03 Typical High $7.24 | Facility | None | $5.01 | $6.03 | $7.24 |
CareSource Setting Professional Modifier None Typical Low $5.01 Median $5.75 Typical High $8.32 | Professional | None | $5.01 | $5.75 | $8.32 |
Cigna Setting Facility Modifier None Typical Low $3.98 Median $8.91 Typical High $10.72 | Facility | None | $3.98 | $8.91 | $10.72 |
Cigna Setting Professional Modifier None Typical Low $2.45 Median $33.88 Typical High $33.88 | Professional | None | $2.45 | $33.88 | $33.88 |
United Setting Professional Modifier None Typical Low $2.09 Median $4.07 Typical High $6.61 | Professional | None | $2.09 | $4.07 | $6.61 |
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 $1.51 Median $2.14 Typical High $2.51 | Professional | 52 · Reduced service | $1.51 | $2.14 | $2.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.62 Median $0.85 Typical High $1.00 | Professional | 53 · Discontinued | $0.62 | $0.85 | $1.00 |
Where Kentucky sits
The same service costs 9.3 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
$4.17
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.