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 $3.09 Median $3.16 Typical High $5.89 | Facility | None | $3.09 | $3.16 | $5.89 |
Aetna Setting Professional Modifier None Typical Low $3.02 Median $3.16 Typical High $4.47 | Professional | None | $3.02 | $3.16 | $4.47 |
Anthem BCBS Setting Facility Modifier None Typical Low $2.34 Median $3.80 Typical High $3.98 | Facility | None | $2.34 | $3.80 | $3.98 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.70 Median $2.19 Typical High $3.31 | Professional | None | $1.70 | $2.19 | $3.31 |
CareSource Setting Facility Modifier None Typical Low $3.80 Median $4.57 Typical High $5.50 | Facility | None | $3.80 | $4.57 | $5.50 |
CareSource Setting Professional Modifier None Typical Low $3.80 Median $4.37 Typical High $6.31 | Professional | None | $3.80 | $4.37 | $6.31 |
Cigna Setting Facility Modifier None Typical Low $2.95 Median $6.46 Typical High $8.13 | Facility | None | $2.95 | $6.46 | $8.13 |
Cigna Setting Professional Modifier None Typical Low $1.82 Median $20.89 Typical High $20.89 | Professional | None | $1.82 | $20.89 | $20.89 |
United Setting Professional Modifier None Typical Low $1.58 Median $2.00 Typical High $4.17 | Professional | None | $1.58 | $2.00 | $4.17 |
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 $1.55 Median $1.58 Typical High $1.95 | Professional | 52 · Reduced service | $1.55 | $1.58 | $1.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.62 Median $0.65 Typical High $0.78 | Professional | 53 · Discontinued | $0.62 | $0.65 | $0.78 |
Where Kentucky sits
The same service costs 11.7 times more in Minnesota than in Kentucky. 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· 51st of 51
$2.45
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.