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 $6.46 Typical High $9.55 | Facility | None | $6.31 | $6.46 | $9.55 |
Aetna Setting Professional Modifier None Typical Low $6.17 Median $6.46 Typical High $10.23 | Professional | None | $6.17 | $6.46 | $10.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $4.79 Median $7.76 Typical High $8.13 | Facility | None | $4.79 | $7.76 | $8.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.80 Median $5.89 Typical High $10.72 | Professional | None | $3.80 | $5.89 | $10.72 |
CareSource Setting Facility Modifier None Typical Low $7.76 Median $9.33 Typical High $10.72 | Facility | None | $7.76 | $9.33 | $10.72 |
CareSource Setting Professional Modifier None Typical Low $7.76 Median $9.55 Typical High $15.49 | Professional | None | $7.76 | $9.55 | $15.49 |
Cigna Setting Facility Modifier None Typical Low $6.03 Median $14.79 Typical High $16.22 | Facility | None | $6.03 | $14.79 | $16.22 |
Cigna Setting Professional Modifier None Typical Low $3.98 Median $51.29 Typical High $51.29 | Professional | None | $3.98 | $51.29 | $51.29 |
United Setting Professional Modifier None Typical Low $3.24 Median $6.46 Typical High $10.47 | Professional | None | $3.24 | $6.46 | $10.47 |
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 $3.24 Typical High $4.37 | Professional | 52 · Reduced service | $3.16 | $3.24 | $4.37 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.26 Median $1.29 Typical High $1.78 | Professional | 53 · Discontinued | $1.26 | $1.29 | $1.78 |
Where Kentucky sits
The same service costs 3.2 times more in Alaska 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· 40th of 51
$6.61
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.