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 $6.03 Median $7.94 Typical High $17.78 | Facility | None | $6.03 | $7.94 | $17.78 |
Aetna Setting Professional Modifier None Typical Low $6.03 Median $7.94 Typical High $12.30 | Professional | None | $6.03 | $7.94 | $12.30 |
Ambetter Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $11.75 | Professional | None | $11.75 | $11.75 | $11.75 |
Anthem BCBS Setting Facility Modifier None Typical Low $5.89 Median $9.55 Typical High $10.00 | Facility | None | $5.89 | $9.55 | $10.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.68 Median $7.94 Typical High $13.18 | Professional | None | $4.68 | $7.94 | $13.18 |
CareSource Setting Facility Modifier None Typical Low $9.55 Median $11.48 Typical High $13.18 | Facility | None | $9.55 | $11.48 | $13.18 |
CareSource Setting Professional Modifier None Typical Low $9.55 Median $10.96 Typical High $15.49 | Professional | None | $9.55 | $10.96 | $15.49 |
Cigna Setting Facility Modifier None Typical Low $7.41 Median $20.42 Typical High $20.42 | Facility | None | $7.41 | $20.42 | $20.42 |
Cigna Setting Professional Modifier None Typical Low $4.79 Median $60.26 Typical High $60.26 | Professional | None | $4.79 | $60.26 | $60.26 |
United Setting Professional Modifier None Typical Low $3.98 Median $7.94 Typical High $13.18 | Professional | None | $3.98 | $7.94 | $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 $3.02 Median $3.98 Typical High $4.79 | Professional | 52 · Reduced service | $3.02 | $3.98 | $4.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.20 Median $1.58 Typical High $1.91 | Professional | 53 · Discontinued | $1.20 | $1.58 | $1.91 |
Where Kentucky sits
The same service costs 15.8 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· 44th of 51
$7.94
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.