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 $9.55 Median $21.88 Typical High $38.90 | Facility | None | $9.55 | $21.88 | $38.90 |
Aetna Setting Professional Modifier None Typical Low $9.55 Median $21.88 Typical High $38.90 | Professional | None | $9.55 | $21.88 | $38.90 |
Ambetter Setting Professional Modifier None Typical Low $5.13 Median $12.88 Typical High $38.90 | Professional | None | $5.13 | $12.88 | $38.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $16.22 Median $25.70 Typical High $26.92 | Facility | None | $16.22 | $25.70 | $26.92 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.88 Median $21.88 Typical High $35.48 | Professional | None | $12.88 | $21.88 | $35.48 |
CareSource Setting Facility Modifier None Typical Low $25.70 Median $30.90 Typical High $36.31 | Facility | None | $25.70 | $30.90 | $36.31 |
CareSource Setting Professional Modifier None Typical Low $25.70 Median $29.51 Typical High $42.66 | Professional | None | $25.70 | $29.51 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $19.95 Median $46.77 Typical High $54.95 | Facility | None | $19.95 | $46.77 | $54.95 |
Cigna Setting Professional Modifier None Typical Low $13.18 Median $138.04 Typical High $138.04 | Professional | None | $13.18 | $138.04 | $138.04 |
United Setting Professional Modifier None Typical Low $10.96 Median $21.88 Typical High $36.31 | Professional | None | $10.96 | $21.88 | $36.31 |
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 $4.79 Median $10.96 Typical High $12.88 | Professional | 52 · Reduced service | $4.79 | $10.96 | $12.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.95 Median $4.37 Typical High $5.13 | Professional | 53 · Discontinued | $1.95 | $4.37 | $5.13 |
Where Kentucky sits
The same service costs 7.4 times more in Vermont than in Alabama. 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
$21.88
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.