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 $12.59 Median $13.18 Typical High $23.44 | Facility | None | $12.59 | $13.18 | $23.44 |
Aetna Setting Professional Modifier None Typical Low $12.59 Median $13.18 Typical High $23.44 | Professional | None | $12.59 | $13.18 | $23.44 |
Ambetter Setting Professional Modifier None Typical Low $9.55 Median $9.55 Typical High $9.55 | Professional | None | $9.55 | $9.55 | $9.55 |
Anthem BCBS Setting Facility Modifier None Typical Low $9.77 Median $15.49 Typical High $16.22 | Facility | None | $9.77 | $15.49 | $16.22 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.76 Median $14.79 Typical High $26.30 | Professional | None | $7.76 | $14.79 | $26.30 |
CareSource Setting Facility Modifier None Typical Low $15.49 Median $18.62 Typical High $21.88 | Facility | None | $15.49 | $18.62 | $21.88 |
CareSource Setting Professional Modifier None Typical Low $15.49 Median $19.50 Typical High $30.90 | Professional | None | $15.49 | $19.50 | $30.90 |
Cigna Setting Facility Modifier None Typical Low $12.02 Median $37.15 Typical High $37.15 | Facility | None | $12.02 | $37.15 | $37.15 |
Cigna Setting Professional Modifier None Typical Low $7.94 Median $46.77 Typical High $131.83 | Professional | None | $7.94 | $46.77 | $131.83 |
United Setting Professional Modifier None Typical Low $6.61 Median $12.59 Typical High $26.30 | Professional | None | $6.61 | $12.59 | $26.30 |
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 $6.31 Median $6.61 Typical High $11.48 | Professional | 52 · Reduced service | $6.31 | $6.61 | $11.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.51 Median $2.63 Typical High $4.68 | Professional | 53 · Discontinued | $2.51 | $2.63 | $4.68 |
Where Kentucky sits
The same service costs 4.2 times more in Kansas 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· 30th of 51
$14.79
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.