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 $6.46 Median $10.23 Typical High $18.20 | Facility | None | $6.46 | $10.23 | $18.20 |
Aetna Setting Professional Modifier None Typical Low $6.46 Median $10.00 Typical High $11.75 | Professional | None | $6.46 | $10.00 | $11.75 |
Anthem BCBS Setting Facility Modifier None Typical Low $7.59 Median $12.30 Typical High $12.88 | Facility | None | $7.59 | $12.30 | $12.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.03 Median $10.47 Typical High $16.98 | Professional | None | $6.03 | $10.47 | $16.98 |
CareSource Setting Facility Modifier None Typical Low $12.30 Median $14.79 Typical High $16.98 | Facility | None | $12.30 | $14.79 | $16.98 |
CareSource Setting Professional Modifier None Typical Low $12.30 Median $15.14 Typical High $24.55 | Professional | None | $12.30 | $15.14 | $24.55 |
Cigna Setting Facility Modifier None Typical Low $9.55 Median $50.12 Typical High $50.12 | Facility | None | $9.55 | $50.12 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $6.31 Median $81.28 Typical High $81.28 | Professional | None | $6.31 | $81.28 | $81.28 |
United Setting Professional Modifier None Typical Low $5.13 Median $10.23 Typical High $16.60 | Professional | None | $5.13 | $10.23 | $16.60 |
3 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 $3.24 Median $5.13 Typical High $6.17 | Professional | 52 · Reduced service | $3.24 | $5.13 | $6.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.29 Median $2.04 Typical High $2.45 | Professional | 53 · Discontinued | $1.29 | $2.04 | $2.45 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $7.59 Median $7.59 Typical High $7.59 | Professional | 59 · Distinct service | $7.59 | $7.59 | $7.59 |
Where Kentucky sits
The same service costs 3.7 times more in Alaska 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
$10.47
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.