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 $7.94 Median $21.38 Typical High $47.86 | Facility | None | $7.94 | $21.38 | $47.86 |
Aetna Setting Professional Modifier None Typical Low $7.94 Median $21.38 Typical High $30.20 | Professional | None | $7.94 | $21.38 | $30.20 |
Ambetter Setting Professional Modifier None Typical Low $15.49 Median $38.02 Typical High $38.02 | Professional | None | $15.49 | $38.02 | $38.02 |
Anthem BCBS Setting Facility Modifier None Typical Low $15.85 Median $25.70 Typical High $26.92 | Facility | None | $15.85 | $25.70 | $26.92 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.59 Median $21.38 Typical High $35.48 | Professional | None | $12.59 | $21.38 | $35.48 |
CareSource Setting Facility Modifier None Typical Low $25.70 Median $30.20 Typical High $35.48 | Facility | None | $25.70 | $30.20 | $35.48 |
CareSource Setting Professional Modifier None Typical Low $25.70 Median $29.51 Typical High $41.69 | Professional | None | $25.70 | $29.51 | $41.69 |
Cigna Setting Facility Modifier None Typical Low $19.95 Median $60.26 Typical High $60.26 | Facility | None | $19.95 | $60.26 | $60.26 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $158.49 Typical High $158.49 | Professional | None | $12.88 | $158.49 | $158.49 |
United Setting Professional Modifier None Typical Low $10.72 Median $21.38 Typical High $35.48 | Professional | None | $10.72 | $21.38 | $35.48 |
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 $3.98 Median $10.72 Typical High $12.59 | Professional | 52 · Reduced service | $3.98 | $10.72 | $12.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.62 Median $4.27 Typical High $5.13 | Professional | 53 · Discontinued | $1.62 | $4.27 | $5.13 |
Where Kentucky sits
The same service costs 4.3 times more in South Carolina than in Alabama. 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· 39th of 51
$21.38
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.