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 $3.80 Typical High $6.76 | Facility | None | $3.02 | $3.80 | $6.76 |
Aetna Setting Professional Modifier None Typical Low $3.02 Median $3.80 Typical High $6.92 | Professional | None | $3.02 | $3.80 | $6.92 |
Ambetter Setting Professional Modifier None Typical Low $2.24 Median $4.47 Typical High $6.76 | Professional | None | $2.24 | $4.47 | $6.76 |
Anthem BCBS Setting Facility Modifier None Typical Low $2.82 Median $4.47 Typical High $4.79 | Facility | None | $2.82 | $4.47 | $4.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.24 Median $3.80 Typical High $6.31 | Professional | None | $2.24 | $3.80 | $6.31 |
CareSource Setting Facility Modifier None Typical Low $4.47 Median $5.37 Typical High $6.31 | Facility | None | $4.47 | $5.37 | $6.31 |
CareSource Setting Professional Modifier None Typical Low $4.47 Median $5.25 Typical High $7.41 | Professional | None | $4.47 | $5.25 | $7.41 |
Cigna Setting Facility Modifier None Typical Low $3.89 Median $8.13 Typical High $9.55 | Facility | None | $3.89 | $8.13 | $9.55 |
Cigna Setting Professional Modifier None Typical Low $2.29 Median $32.36 Typical High $32.36 | Professional | None | $2.29 | $32.36 | $32.36 |
United Setting Professional Modifier None Typical Low $1.91 Median $3.80 Typical High $6.17 | Professional | None | $1.91 | $3.80 | $6.17 |
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 $1.91 Typical High $2.24 | Professional | 52 · Reduced service | $1.51 | $1.91 | $2.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.62 Median $0.76 Typical High $0.89 | Professional | 53 · Discontinued | $0.62 | $0.76 | $0.89 |
Where Kentucky sits
The same service costs 15.8 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· 46th of 51
$3.80
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.