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 $2.19 Median $3.24 Typical High $7.24 | Facility | None | $2.19 | $3.24 | $7.24 |
Aetna Setting Professional Modifier None Typical Low $2.19 Median $3.24 Typical High $4.17 | Professional | None | $2.19 | $3.24 | $4.17 |
Anthem BCBS Setting Facility Modifier None Typical Low $2.40 Median $3.80 Typical High $4.07 | Facility | None | $2.40 | $3.80 | $4.07 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.91 Median $3.24 Typical High $5.25 | Professional | None | $1.91 | $3.24 | $5.25 |
CareSource Setting Facility Modifier None Typical Low $3.80 Median $4.57 Typical High $5.37 | Facility | None | $3.80 | $4.57 | $5.37 |
CareSource Setting Professional Modifier None Typical Low $3.80 Median $4.79 Typical High $7.59 | Professional | None | $3.80 | $4.79 | $7.59 |
Cigna Setting Facility Modifier None Typical Low $2.95 Median $7.24 Typical High $8.13 | Facility | None | $2.95 | $7.24 | $8.13 |
Cigna Setting Professional Modifier None Typical Low $2.00 Median $28.84 Typical High $28.84 | Professional | None | $2.00 | $28.84 | $28.84 |
United Setting Professional Modifier None Typical Low $1.62 Median $3.24 Typical High $5.37 | Professional | None | $1.62 | $3.24 | $5.37 |
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 $1.10 Median $1.62 Typical High $1.91 | Professional | 52 · Reduced service | $1.10 | $1.62 | $1.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.44 Median $0.65 Typical High $0.78 | Professional | 53 · Discontinued | $0.44 | $0.65 | $0.78 |
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· 41st of 51
$3.24
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.