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 $2.40 Median $2.51 Typical High $5.01 | Facility | None | $2.40 | $2.51 | $5.01 |
Aetna Setting Professional Modifier None Typical Low $2.24 Median $2.69 Typical High $5.01 | Professional | None | $2.24 | $2.69 | $5.01 |
Ambetter Setting Professional Modifier None Typical Low $1.82 Median $3.72 Typical High $4.47 | Professional | None | $1.82 | $3.72 | $4.47 |
Anthem BCBS Setting Facility Modifier None Typical Low $1.86 Median $3.02 Typical High $3.16 | Facility | None | $1.86 | $3.02 | $3.16 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.48 Median $2.95 Typical High $7.08 | Professional | None | $1.48 | $2.95 | $7.08 |
CareSource Setting Facility Modifier None Typical Low $3.02 Median $3.63 Typical High $4.17 | Facility | None | $3.02 | $3.63 | $4.17 |
CareSource Setting Professional Modifier None Typical Low $3.02 Median $3.47 Typical High $4.90 | Professional | None | $3.02 | $3.47 | $4.90 |
Cigna Setting Facility Modifier None Typical Low $2.34 Median $5.01 Typical High $6.31 | Facility | None | $2.34 | $5.01 | $6.31 |
Cigna Setting Professional Modifier None Typical Low $1.48 Median $28.18 Typical High $28.18 | Professional | None | $1.48 | $28.18 | $28.18 |
United Setting Professional Modifier None Typical Low $1.26 Median $2.51 Typical High $5.01 | Professional | None | $1.26 | $2.51 | $5.01 |
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 $1.20 Median $1.26 Typical High $2.51 | Professional | 52 · Reduced service | $1.20 | $1.26 | $2.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.48 Median $0.50 Typical High $1.00 | Professional | 53 · Discontinued | $0.48 | $0.50 | $1.00 |
Where Kentucky sits
The same service costs 28.2 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· 36th of 51
$3.02
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.