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 $10.47 Median $10.96 Typical High $24.55 | Facility | None | $10.47 | $10.96 | $24.55 |
Aetna Setting Professional Modifier None Typical Low $7.76 Median $10.96 Typical High $16.98 | Professional | None | $7.76 | $10.96 | $16.98 |
Ambetter Setting Professional Modifier None Typical Low $6.46 Median $6.46 Typical High $6.46 | Professional | None | $6.46 | $6.46 | $6.46 |
Anthem BCBS Setting Facility Modifier None Typical Low $8.13 Median $12.88 Typical High $13.49 | Facility | None | $8.13 | $12.88 | $13.49 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.46 Median $10.00 Typical High $17.78 | Professional | None | $6.46 | $10.00 | $17.78 |
CareSource Setting Facility Modifier None Typical Low $12.88 Median $15.49 Typical High $18.20 | Facility | None | $12.88 | $15.49 | $18.20 |
CareSource Setting Professional Modifier None Typical Low $12.88 Median $14.79 Typical High $21.38 | Professional | None | $12.88 | $14.79 | $21.38 |
Cigna Setting Facility Modifier None Typical Low $10.00 Median $30.90 Typical High $30.90 | Facility | None | $10.00 | $30.90 | $30.90 |
Cigna Setting Professional Modifier None Typical Low $6.61 Median $38.90 Typical High $87.10 | Professional | None | $6.61 | $38.90 | $87.10 |
United Setting Professional Modifier None Typical Low $5.50 Median $10.96 Typical High $18.20 | Professional | None | $5.50 | $10.96 | $18.20 |
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 $5.25 Median $5.50 Typical High $7.08 | Professional | 52 · Reduced service | $5.25 | $5.50 | $7.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.09 Median $2.19 Typical High $2.88 | Professional | 53 · Discontinued | $2.09 | $2.19 | $2.88 |
Where Kentucky sits
The same service costs 8.3 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· 41st of 51
$10.96
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.