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 $6.03 Median $6.31 Typical High $10.00 | Facility | None | $6.03 | $6.31 | $10.00 |
Aetna Setting Professional Modifier None Typical Low $6.03 Median $6.92 Typical High $11.22 | Professional | None | $6.03 | $6.92 | $11.22 |
Ambetter Setting Professional Modifier None Typical Low $6.46 Median $9.33 Typical High $11.22 | Professional | None | $6.46 | $9.33 | $11.22 |
Anthem BCBS Setting Facility Modifier None Typical Low $4.68 Median $7.59 Typical High $7.94 | Facility | None | $4.68 | $7.59 | $7.94 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.72 Median $6.31 Typical High $10.47 | Professional | None | $3.72 | $6.31 | $10.47 |
CareSource Setting Facility Modifier None Typical Low $7.59 Median $9.12 Typical High $10.47 | Facility | None | $7.59 | $9.12 | $10.47 |
CareSource Setting Professional Modifier None Typical Low $7.59 Median $8.71 Typical High $12.30 | Professional | None | $7.59 | $8.71 | $12.30 |
Cigna Setting Facility Modifier None Typical Low $6.46 Median $13.49 Typical High $15.85 | Facility | None | $6.46 | $13.49 | $15.85 |
Cigna Setting Professional Modifier None Typical Low $3.80 Median $54.95 Typical High $54.95 | Professional | None | $3.80 | $54.95 | $54.95 |
United Setting Professional Modifier None Typical Low $3.16 Median $6.31 Typical High $10.47 | Professional | None | $3.16 | $6.31 | $10.47 |
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 $3.02 Median $3.16 Typical High $4.27 | Professional | 52 · Reduced service | $3.02 | $3.16 | $4.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.23 Median $1.26 Typical High $1.70 | Professional | 53 · Discontinued | $1.23 | $1.26 | $1.70 |
Where Kentucky sits
The same service costs 21.4 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· 43rd of 51
$6.61
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.