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 $4.90 Median $5.01 Typical High $8.91 | Facility | None | $4.90 | $5.01 | $8.91 |
Aetna Setting Professional Modifier None Typical Low $4.47 Median $5.50 Typical High $8.13 | Professional | None | $4.47 | $5.50 | $8.13 |
Ambetter Setting Professional Modifier None Typical Low $3.72 Median $9.12 Typical High $9.12 | Professional | None | $3.72 | $9.12 | $9.12 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.72 Median $6.03 Typical High $6.31 | Facility | None | $3.72 | $6.03 | $6.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.95 Median $5.89 Typical High $8.32 | Professional | None | $2.95 | $5.89 | $8.32 |
CareSource Setting Facility Modifier None Typical Low $6.03 Median $7.24 Typical High $8.71 | Facility | None | $6.03 | $7.24 | $8.71 |
CareSource Setting Professional Modifier None Typical Low $6.03 Median $6.92 Typical High $10.00 | Professional | None | $6.03 | $6.92 | $10.00 |
Cigna Setting Facility Modifier None Typical Low $4.68 Median $11.22 Typical High $12.88 | Facility | None | $4.68 | $11.22 | $12.88 |
Cigna Setting Professional Modifier None Typical Low $2.95 Median $39.81 Typical High $39.81 | Professional | None | $2.95 | $39.81 | $39.81 |
United Setting Professional Modifier None Typical Low $2.51 Median $5.01 Typical High $8.32 | Professional | None | $2.51 | $5.01 | $8.32 |
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 $2.45 Median $2.51 Typical High $3.39 | Professional | 52 · Reduced service | $2.45 | $2.51 | $3.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.98 Median $1.00 Typical High $1.38 | Professional | 53 · Discontinued | $0.98 | $1.00 | $1.38 |
Where Kentucky sits
The same service costs 14.5 times more in Minnesota 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· 32nd of 51
$6.03
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.