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 $3.80 Median $4.37 Typical High $7.76 | Facility | None | $3.80 | $4.37 | $7.76 |
Aetna Setting Professional Modifier None Typical Low $3.09 Median $4.37 Typical High $7.41 | Professional | None | $3.09 | $4.37 | $7.41 |
Ambetter Setting Professional Modifier None Typical Low $2.57 Median $5.13 Typical High $7.76 | Professional | None | $2.57 | $5.13 | $7.76 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.24 Median $5.13 Typical High $5.50 | Facility | None | $3.24 | $5.13 | $5.50 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.57 Median $3.24 Typical High $5.25 | Professional | None | $2.57 | $3.24 | $5.25 |
CareSource Setting Facility Modifier None Typical Low $5.13 Median $6.17 Typical High $7.24 | Facility | None | $5.13 | $6.17 | $7.24 |
CareSource Setting Professional Modifier None Typical Low $5.13 Median $6.03 Typical High $8.51 | Professional | None | $5.13 | $6.03 | $8.51 |
Cigna Setting Facility Modifier None Typical Low $4.07 Median $12.30 Typical High $12.30 | Facility | None | $4.07 | $12.30 | $12.30 |
Cigna Setting Professional Modifier None Typical Low $2.63 Median $36.31 Typical High $36.31 | Professional | None | $2.63 | $36.31 | $36.31 |
United Setting Professional Modifier None Typical Low $2.19 Median $3.24 Typical High $6.31 | Professional | None | $2.19 | $3.24 | $6.31 |
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 $1.91 Median $2.19 Typical High $2.57 | Professional | 52 · Reduced service | $1.91 | $2.19 | $2.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.76 Median $0.87 Typical High $1.05 | Professional | 53 · Discontinued | $0.76 | $0.87 | $1.05 |
Where Kentucky sits
The same service costs 17.8 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· 46th of 51
$4.17
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.