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 $8.91 Median $19.05 Typical High $43.65 | Facility | None | $8.91 | $19.05 | $43.65 |
Aetna Setting Professional Modifier None Typical Low $8.91 Median $19.05 Typical High $22.91 | Professional | None | $8.91 | $19.05 | $22.91 |
Ambetter Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | None | $14.13 | $14.13 | $14.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $14.13 Median $22.91 Typical High $23.99 | Facility | None | $14.13 | $22.91 | $23.99 |
Anthem BCBS Setting Professional Modifier None Typical Low $11.22 Median $19.50 Typical High $31.62 | Professional | None | $11.22 | $19.50 | $31.62 |
CareSource Setting Facility Modifier None Typical Low $22.91 Median $27.54 Typical High $32.36 | Facility | None | $22.91 | $27.54 | $32.36 |
CareSource Setting Professional Modifier None Typical Low $22.91 Median $28.84 Typical High $45.71 | Professional | None | $22.91 | $28.84 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $17.78 Median $43.65 Typical High $48.98 | Facility | None | $17.78 | $43.65 | $48.98 |
Cigna Setting Professional Modifier None Typical Low $11.75 Median $151.36 Typical High $151.36 | Professional | None | $11.75 | $151.36 | $151.36 |
United Setting Professional Modifier None Typical Low $9.55 Median $19.05 Typical High $30.90 | Professional | None | $9.55 | $19.05 | $30.90 |
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 $4.47 Median $9.55 Typical High $11.48 | Professional | 52 · Reduced service | $4.47 | $9.55 | $11.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.78 Median $3.89 Typical High $4.57 | Professional | 53 · Discontinued | $1.78 | $3.89 | $4.57 |
Where Kentucky sits
The same service costs 6.6 times more in Alaska 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· 34th of 51
$19.50
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.