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 $5.25 Median $5.37 Typical High $7.94 | Facility | None | $5.25 | $5.37 | $7.94 |
Aetna Setting Professional Modifier None Typical Low $5.13 Median $5.37 Typical High $6.61 | Professional | None | $5.13 | $5.37 | $6.61 |
Ambetter Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $8.13 | Professional | None | $8.13 | $8.13 | $8.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $4.07 Median $6.46 Typical High $6.76 | Facility | None | $4.07 | $6.46 | $6.76 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.16 Median $6.46 Typical High $8.91 | Professional | None | $3.16 | $6.46 | $8.91 |
CareSource Setting Facility Modifier None Typical Low $6.46 Median $7.76 Typical High $9.12 | Facility | None | $6.46 | $7.76 | $9.12 |
CareSource Setting Professional Modifier None Typical Low $6.46 Median $7.41 Typical High $10.72 | Professional | None | $6.46 | $7.41 | $10.72 |
Cigna Setting Facility Modifier None Typical Low $5.01 Median $12.30 Typical High $13.80 | Facility | None | $5.01 | $12.30 | $13.80 |
Cigna Setting Professional Modifier None Typical Low $3.31 Median $43.65 Typical High $43.65 | Professional | None | $3.31 | $43.65 | $43.65 |
United Setting Professional Modifier None Typical Low $2.69 Median $5.37 Typical High $10.00 | Professional | None | $2.69 | $5.37 | $10.00 |
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 $2.63 Median $2.69 Typical High $3.31 | Professional | 52 · Reduced service | $2.63 | $2.69 | $3.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.05 Median $1.10 Typical High $1.32 | Professional | 53 · Discontinued | $1.05 | $1.10 | $1.32 |
Where Kentucky sits
The same service costs 3.7 times more in Alaska 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· 27th of 51
$6.46
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.