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 $6.31 Median $19.50 Typical High $30.20 | Facility | None | $6.31 | $19.50 | $30.20 |
Aetna Setting Professional Modifier None Typical Low $6.31 Median $19.50 Typical High $26.30 | Professional | None | $6.31 | $19.50 | $26.30 |
Anthem BCBS Setting Facility Modifier None Typical Low $14.45 Median $14.45 Typical High $14.45 | Facility | None | $14.45 | $14.45 | $14.45 |
Anthem BCBS Setting Professional Modifier None Typical Low $14.45 Median $17.78 Typical High $23.99 | Professional | None | $14.45 | $17.78 | $23.99 |
CareSource Setting Facility Modifier None Typical Low $19.50 Median $23.99 Typical High $37.15 | Facility | None | $19.50 | $23.99 | $37.15 |
CareSource Setting Professional Modifier None Typical Low $19.50 Median $30.20 Typical High $38.02 | Professional | None | $19.50 | $30.20 | $38.02 |
Cigna Setting Facility Modifier None Typical Low $2.29 Median $41.69 Typical High $41.69 | Facility | None | $2.29 | $41.69 | $41.69 |
Cigna Setting Professional Modifier None Typical Low $12.30 Median $128.82 Typical High $128.82 | Professional | None | $12.30 | $128.82 | $128.82 |
United Setting Professional Modifier None Typical Low $7.59 Median $14.13 Typical High $33.88 | Professional | None | $7.59 | $14.13 | $33.88 |
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 $3.16 Median $9.55 Typical High $13.18 | Professional | 52 · Reduced service | $3.16 | $9.55 | $13.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.26 Median $3.89 Typical High $5.25 | Professional | 53 · Discontinued | $1.26 | $3.89 | $5.25 |
Where Kentucky sits
The same service costs 8.5 times more in Alaska than in Arizona. 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· 49th of 51
$19.05
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.