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 $17.38 Median $17.78 Typical High $40.74 | Facility | None | $17.38 | $17.78 | $40.74 |
Aetna Setting Professional Modifier None Typical Low $15.85 Median $17.78 Typical High $21.38 | Professional | None | $15.85 | $17.78 | $21.38 |
Ambetter Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $12.88 | Professional | None | $12.88 | $12.88 | $12.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $13.18 Median $21.38 Typical High $22.39 | Facility | None | $13.18 | $21.38 | $22.39 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.47 Median $16.22 Typical High $29.51 | Professional | None | $10.47 | $16.22 | $29.51 |
CareSource Setting Facility Modifier None Typical Low $21.38 Median $25.70 Typical High $30.20 | Facility | None | $21.38 | $25.70 | $30.20 |
CareSource Setting Professional Modifier None Typical Low $21.38 Median $24.55 Typical High $35.48 | Professional | None | $21.38 | $24.55 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $16.60 Median $38.90 Typical High $44.67 | Facility | None | $16.60 | $38.90 | $44.67 |
Cigna Setting Professional Modifier None Typical Low $10.72 Median $141.25 Typical High $141.25 | Professional | None | $10.72 | $141.25 | $141.25 |
United Setting Professional Modifier None Typical Low $6.92 Median $17.78 Typical High $28.84 | Professional | None | $6.92 | $17.78 | $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 $8.71 Median $8.91 Typical High $10.72 | Professional | 52 · Reduced service | $8.71 | $8.91 | $10.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.47 Median $3.55 Typical High $4.27 | Professional | 53 · Discontinued | $3.47 | $3.55 | $4.27 |
Where Kentucky sits
The same service costs 4.1 times more in Kansas 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· 39th of 51
$18.20
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.