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 $4.57 Typical High $10.47 | Facility | None | $3.02 | $4.57 | $10.47 |
Aetna Setting Professional Modifier None Typical Low $3.02 Median $4.68 Typical High $5.50 | Professional | None | $3.02 | $4.68 | $5.50 |
Ambetter Setting Professional Modifier None Typical Low $5.50 Median $5.50 Typical High $5.50 | Professional | None | $5.50 | $5.50 | $5.50 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.47 Median $5.50 Typical High $5.75 | Facility | None | $3.47 | $5.50 | $5.75 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.69 Median $4.68 Typical High $7.76 | Professional | None | $2.69 | $4.68 | $7.76 |
CareSource Setting Facility Modifier None Typical Low $5.50 Median $6.61 Typical High $7.76 | Facility | None | $5.50 | $6.61 | $7.76 |
CareSource Setting Professional Modifier None Typical Low $5.50 Median $6.92 Typical High $10.96 | Professional | None | $5.50 | $6.92 | $10.96 |
Cigna Setting Facility Modifier None Typical Low $4.27 Median $10.47 Typical High $11.75 | Facility | None | $4.27 | $10.47 | $11.75 |
Cigna Setting Professional Modifier None Typical Low $2.82 Median $38.02 Typical High $38.02 | Professional | None | $2.82 | $38.02 | $38.02 |
United Setting Professional Modifier None Typical Low $2.29 Median $4.68 Typical High $7.76 | Professional | None | $2.29 | $4.68 | $7.76 |
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 $2.29 Typical High $2.75 | Professional | 52 · Reduced service | $1.51 | $2.29 | $2.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.62 Median $0.93 Typical High $1.10 | Professional | 53 · Discontinued | $0.62 | $0.93 | $1.10 |
Where Kentucky sits
The same service costs 12.3 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· 44th of 51
$4.68
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.