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 $5.89 Median $6.76 Typical High $15.49 | Facility | None | $5.89 | $6.76 | $15.49 |
Aetna Setting Professional Modifier None Typical Low $5.89 Median $6.76 Typical High $10.72 | Professional | None | $5.89 | $6.76 | $10.72 |
Ambetter Setting Professional Modifier None Typical Low $4.90 Median $4.90 Typical High $4.90 | Professional | None | $4.90 | $4.90 | $4.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $5.01 Median $8.13 Typical High $8.51 | Facility | None | $5.01 | $8.13 | $8.51 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.98 Median $7.59 Typical High $17.78 | Professional | None | $3.98 | $7.59 | $17.78 |
CareSource Setting Facility Modifier None Typical Low $8.13 Median $9.77 Typical High $11.22 | Facility | None | $8.13 | $9.77 | $11.22 |
CareSource Setting Professional Modifier None Typical Low $8.13 Median $9.33 Typical High $13.18 | Professional | None | $8.13 | $9.33 | $13.18 |
Cigna Setting Facility Modifier None Typical Low $6.31 Median $17.38 Typical High $17.38 | Facility | None | $6.31 | $17.38 | $17.38 |
Cigna Setting Professional Modifier None Typical Low $4.17 Median $53.70 Typical High $53.70 | Professional | None | $4.17 | $53.70 | $53.70 |
United Setting Professional Modifier None Typical Low $3.39 Median $6.76 Typical High $11.22 | Professional | None | $3.39 | $6.76 | $11.22 |
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 $2.95 Median $3.39 Typical High $4.07 | Professional | 52 · Reduced service | $2.95 | $3.39 | $4.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.17 Median $1.35 Typical High $1.62 | Professional | 53 · Discontinued | $1.17 | $1.35 | $1.62 |
Where Kentucky sits
The same service costs 5.6 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· 38th of 51
$7.41
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.