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 $9.77 Median $10.00 Typical High $23.99 | Facility | None | $9.77 | $10.00 | $23.99 |
Aetna Setting Professional Modifier None Typical Low $9.55 Median $10.00 Typical High $23.99 | Professional | None | $9.55 | $10.00 | $23.99 |
Ambetter Setting Professional Modifier None Typical Low $7.41 Median $7.41 Typical High $7.41 | Professional | None | $7.41 | $7.41 | $7.41 |
Anthem BCBS Setting Facility Modifier None Typical Low $7.59 Median $12.02 Typical High $12.59 | Facility | None | $7.59 | $12.02 | $12.59 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.89 Median $12.59 Typical High $39.81 | Professional | None | $5.89 | $12.59 | $39.81 |
CareSource Setting Facility Modifier None Typical Low $12.02 Median $16.22 Typical High $26.30 | Facility | None | $12.02 | $16.22 | $26.30 |
CareSource Setting Professional Modifier None Typical Low $12.02 Median $13.80 Typical High $19.95 | Professional | None | $12.02 | $13.80 | $19.95 |
Cigna Setting Facility Modifier None Typical Low $9.33 Median $50.12 Typical High $50.12 | Facility | None | $9.33 | $50.12 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $15.49 Median $67.61 Typical High $89.13 | Professional | None | $15.49 | $67.61 | $89.13 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
United Setting Professional Modifier None Typical Low $5.01 Median $9.12 Typical High $17.78 | Professional | None | $5.01 | $9.12 | $17.78 |
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 $4.90 Median $5.01 Typical High $12.02 | Professional | 52 · Reduced service | $4.90 | $5.01 | $12.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.95 Median $2.04 Typical High $4.79 | Professional | 53 · Discontinued | $1.95 | $2.04 | $4.79 |
Where Kentucky sits
The same service costs 3.9 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· 37th of 51
$12.59
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.