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 $5.75 Typical High $8.51 | Facility | None | $3.02 | $5.75 | $8.51 |
Aetna Setting Professional Modifier None Typical Low $3.02 Median $5.75 Typical High $9.12 | Professional | None | $3.02 | $5.75 | $9.12 |
Ambetter Setting Professional Modifier None Typical Low $1.38 Median $5.89 Typical High $10.23 | Professional | None | $1.38 | $5.89 | $10.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $4.27 Median $6.92 Typical High $7.24 | Facility | None | $4.27 | $6.92 | $7.24 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.39 Median $5.89 Typical High $9.55 | Professional | None | $3.39 | $5.89 | $9.55 |
CareSource Setting Facility Modifier None Typical Low $6.92 Median $8.32 Typical High $9.55 | Facility | None | $6.92 | $8.32 | $9.55 |
CareSource Setting Professional Modifier None Typical Low $6.92 Median $7.94 Typical High $11.22 | Professional | None | $6.92 | $7.94 | $11.22 |
Cigna Setting Facility Modifier None Typical Low $5.37 Median $12.59 Typical High $14.45 | Facility | None | $5.37 | $12.59 | $14.45 |
Cigna Setting Professional Modifier None Typical Low $3.47 Median $45.71 Typical High $45.71 | Professional | None | $3.47 | $45.71 | $45.71 |
United Setting Professional Modifier None Typical Low $2.88 Median $5.75 Typical High $9.33 | Professional | None | $2.88 | $5.75 | $9.33 |
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 $2.88 Typical High $3.47 | Professional | 52 · Reduced service | $1.51 | $2.88 | $3.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.62 Median $1.15 Typical High $1.38 | Professional | 53 · Discontinued | $0.62 | $1.15 | $1.38 |
Where Kentucky sits
The same service costs 13.5 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· 41st of 51
$5.89
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.