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 $7.41 Median $10.96 Typical High $25.12 | Facility | None | $7.41 | $10.96 | $25.12 |
Aetna Setting Professional Modifier None Typical Low $7.41 Median $10.96 Typical High $18.62 | Professional | None | $7.41 | $10.96 | $18.62 |
Ambetter Setting Professional Modifier None Typical Low $6.61 Median $6.61 Typical High $16.60 | Professional | None | $6.61 | $6.61 | $16.60 |
Anthem BCBS Setting Facility Modifier None Typical Low $8.13 Median $13.18 Typical High $13.80 | Facility | None | $8.13 | $13.18 | $13.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.46 Median $11.22 Typical High $18.20 | Professional | None | $6.46 | $11.22 | $18.20 |
CareSource Setting Facility Modifier None Typical Low $13.18 Median $15.85 Typical High $18.62 | Facility | None | $13.18 | $15.85 | $18.62 |
CareSource Setting Professional Modifier None Typical Low $13.18 Median $15.14 Typical High $21.88 | Professional | None | $13.18 | $15.14 | $21.88 |
Cigna Setting Facility Modifier None Typical Low $10.23 Median $28.18 Typical High $28.18 | Facility | None | $10.23 | $28.18 | $28.18 |
Cigna Setting Professional Modifier None Typical Low $6.76 Median $87.10 Typical High $87.10 | Professional | None | $6.76 | $87.10 | $87.10 |
United Setting Professional Modifier None Typical Low $5.25 Median $10.96 Typical High $18.62 | Professional | None | $5.25 | $10.96 | $18.62 |
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 $3.72 Median $5.50 Typical High $6.61 | Professional | 52 · Reduced service | $3.72 | $5.50 | $6.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.48 Median $2.24 Typical High $2.63 | Professional | 53 · Discontinued | $1.48 | $2.24 | $2.63 |
Where Kentucky sits
The same service costs 9.1 times more in Vermont 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· 41st of 51
$11.22
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.