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 $8.32 Median $8.51 Typical High $19.50 | Facility | None | $8.32 | $8.51 | $19.50 |
Aetna Setting Professional Modifier None Typical Low $7.59 Median $8.51 Typical High $14.13 | Professional | None | $7.59 | $8.51 | $14.13 |
Ambetter Setting Professional Modifier None Typical Low $6.31 Median $10.23 Typical High $12.59 | Professional | None | $6.31 | $10.23 | $12.59 |
Anthem BCBS Setting Facility Modifier None Typical Low $6.31 Median $10.23 Typical High $10.72 | Facility | None | $6.31 | $10.23 | $10.72 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.01 Median $8.71 Typical High $14.13 | Professional | None | $5.01 | $8.71 | $14.13 |
CareSource Setting Facility Modifier None Typical Low $10.23 Median $12.30 Typical High $14.13 | Facility | None | $10.23 | $12.30 | $14.13 |
CareSource Setting Professional Modifier None Typical Low $10.23 Median $11.75 Typical High $16.98 | Professional | None | $10.23 | $11.75 | $16.98 |
Cigna Setting Facility Modifier None Typical Low $7.94 Median $19.05 Typical High $21.38 | Facility | None | $7.94 | $19.05 | $21.38 |
Cigna Setting Professional Modifier None Typical Low $5.13 Median $66.07 Typical High $66.07 | Professional | None | $5.13 | $66.07 | $66.07 |
United Setting Professional Modifier None Typical Low $4.27 Median $8.51 Typical High $14.13 | Professional | None | $4.27 | $8.51 | $14.13 |
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 $4.17 Median $4.27 Typical High $5.13 | Professional | 52 · Reduced service | $4.17 | $4.27 | $5.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.66 Median $1.70 Typical High $2.04 | Professional | 53 · Discontinued | $1.66 | $1.70 | $2.04 |
Where Kentucky sits
The same service costs 26.9 times more in Vermont 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· 43rd of 51
$8.71
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.