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 $8.51 Median $12.88 Typical High $22.91 | Facility | None | $8.51 | $12.88 | $22.91 |
Aetna Setting Professional Modifier None Typical Low $8.51 Median $12.59 Typical High $15.49 | Professional | None | $8.51 | $12.59 | $15.49 |
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 $9.55 Median $15.49 Typical High $16.22 | Facility | None | $9.55 | $15.49 | $16.22 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.59 Median $12.02 Typical High $21.38 | Professional | None | $7.59 | $12.02 | $21.38 |
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 $17.78 Typical High $25.70 | Professional | None | $15.49 | $17.78 | $25.70 |
Cigna Setting Facility Modifier None Typical Low $12.02 Median $33.11 Typical High $33.11 | Facility | None | $12.02 | $33.11 | $33.11 |
Cigna Setting Professional Modifier None Typical Low $7.94 Median $102.33 Typical High $102.33 | Professional | None | $7.94 | $102.33 | $102.33 |
United Setting Professional Modifier None Typical Low $6.46 Median $12.88 Typical High $21.88 | Professional | None | $6.46 | $12.88 | $21.88 |
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 $4.27 Median $6.46 Typical High $7.76 | Professional | 52 · Reduced service | $4.27 | $6.46 | $7.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.70 Median $2.57 Typical High $3.09 | Professional | 53 · Discontinued | $1.70 | $2.57 | $3.09 |
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
$13.18
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.