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 $5.75 Median $22.39 Typical High $51.29 | Facility | None | $5.75 | $22.39 | $51.29 |
Aetna Setting Professional Modifier None Typical Low $5.75 Median $22.39 Typical High $26.92 | Professional | None | $5.75 | $22.39 | $26.92 |
Anthem BCBS Setting Facility Modifier None Typical Low $16.60 Median $26.92 Typical High $28.18 | Facility | None | $16.60 | $26.92 | $28.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $13.18 Median $22.91 Typical High $37.15 | Professional | None | $13.18 | $22.91 | $37.15 |
CareSource Setting Facility Modifier None Typical Low $26.92 Median $32.36 Typical High $38.02 | Facility | None | $26.92 | $32.36 | $38.02 |
CareSource Setting Professional Modifier None Typical Low $26.92 Median $30.90 Typical High $44.67 | Professional | None | $26.92 | $30.90 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $20.89 Median $63.10 Typical High $63.10 | Facility | None | $20.89 | $63.10 | $63.10 |
Cigna Setting Professional Modifier None Typical Low $13.49 Median $177.83 Typical High $177.83 | Professional | None | $13.49 | $177.83 | $177.83 |
United Setting Professional Modifier None Typical Low $11.22 Median $22.39 Typical High $36.31 | Professional | None | $11.22 | $22.39 | $36.31 |
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 $2.88 Median $11.22 Typical High $13.49 | Professional | 52 · Reduced service | $2.88 | $11.22 | $13.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.15 Median $4.47 Typical High $5.37 | Professional | 53 · Discontinued | $1.15 | $4.47 | $5.37 |
Where Kentucky sits
The same service costs 4.5 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· 32nd of 51
$22.91
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.