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 $3.55 Median $3.72 Typical High $8.32 | Facility | None | $3.55 | $3.72 | $8.32 |
Aetna Setting Professional Modifier None Typical Low $3.55 Median $3.72 Typical High $5.25 | Professional | None | $3.55 | $3.72 | $5.25 |
Ambetter Setting Professional Modifier None Typical Low $2.69 Median $2.69 Typical High $2.69 | Professional | None | $2.69 | $2.69 | $2.69 |
Anthem BCBS Setting Facility Modifier None Typical Low $2.75 Median $4.37 Typical High $4.57 | Facility | None | $2.75 | $4.37 | $4.57 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.19 Median $3.39 Typical High $6.17 | Professional | None | $2.19 | $3.39 | $6.17 |
CareSource Setting Facility Modifier None Typical Low $4.37 Median $5.25 Typical High $6.31 | Facility | None | $4.37 | $5.25 | $6.31 |
CareSource Setting Professional Modifier None Typical Low $4.37 Median $5.01 Typical High $7.24 | Professional | None | $4.37 | $5.01 | $7.24 |
Cigna Setting Facility Modifier None Typical Low $3.39 Median $10.47 Typical High $10.47 | Facility | None | $3.39 | $10.47 | $10.47 |
Cigna Setting Professional Modifier None Typical Low $2.29 Median $30.20 Typical High $30.20 | Professional | None | $2.29 | $30.20 | $30.20 |
United Setting Professional Modifier None Typical Low $1.86 Median $3.72 Typical High $6.03 | Professional | None | $1.86 | $3.72 | $6.03 |
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 $1.78 Median $1.86 Typical High $2.51 | Professional | 52 · Reduced service | $1.78 | $1.86 | $2.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.71 Median $0.74 Typical High $1.00 | Professional | 53 · Discontinued | $0.71 | $0.74 | $1.00 |
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· 40th of 51
$3.72
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.