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 $1.20 Median $7.94 Typical High $17.78 | Facility | None | $1.20 | $7.94 | $17.78 |
Aetna Setting Professional Modifier None Typical Low $1.20 Median $7.59 Typical High $10.23 | Professional | None | $1.20 | $7.59 | $10.23 |
Ambetter Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $14.13 | Professional | None | $11.75 | $11.75 | $14.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $5.89 Median $9.33 Typical High $10.00 | Facility | None | $5.89 | $9.33 | $10.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.09 Median $2.75 Typical High $9.33 | Professional | None | $2.09 | $2.75 | $9.33 |
CareSource Setting Facility Modifier None Typical Low $9.33 Median $11.22 Typical High $13.18 | Facility | None | $9.33 | $11.22 | $13.18 |
CareSource Setting Professional Modifier None Typical Low $9.33 Median $10.96 Typical High $15.49 | Professional | None | $9.33 | $10.96 | $15.49 |
Cigna Setting Facility Modifier None Typical Low $7.41 Median $19.50 Typical High $19.95 | Facility | None | $7.41 | $19.50 | $19.95 |
Cigna Setting Professional Modifier None Typical Low $4.79 Median $45.71 Typical High $45.71 | Professional | None | $4.79 | $45.71 | $45.71 |
United Setting Professional Modifier None Typical Low $3.98 Median $7.76 Typical High $13.18 | Professional | None | $3.98 | $7.76 | $13.18 |
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 $0.62 Median $3.98 Typical High $4.68 | Professional | 52 · Reduced service | $0.62 | $3.98 | $4.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.24 Median $1.58 Typical High $1.91 | Professional | 53 · Discontinued | $0.24 | $1.58 | $1.91 |
Where Kentucky sits
The same service costs 5.0 times more in Alaska than in Georgia. 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· 42nd of 51
$7.59
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.