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 $3.47 Median $3.63 Typical High $6.46 | Facility | None | $3.47 | $3.63 | $6.46 |
Aetna Setting Professional Modifier None Typical Low $2.57 Median $3.63 Typical High $5.62 | Professional | None | $2.57 | $3.63 | $5.62 |
Ambetter Setting Professional Modifier None Typical Low $5.37 Median $5.37 Typical High $5.37 | Professional | None | $5.37 | $5.37 | $5.37 |
Anthem BCBS Setting Facility Modifier None Typical Low $2.63 Median $4.27 Typical High $4.47 | Facility | None | $2.63 | $4.27 | $4.47 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.09 Median $3.24 Typical High $5.89 | Professional | None | $2.09 | $3.24 | $5.89 |
CareSource Setting Facility Modifier None Typical Low $4.27 Median $5.13 Typical High $6.03 | Facility | None | $4.27 | $5.13 | $6.03 |
CareSource Setting Professional Modifier None Typical Low $4.27 Median $4.90 Typical High $7.08 | Professional | None | $4.27 | $4.90 | $7.08 |
Cigna Setting Facility Modifier None Typical Low $3.31 Median $8.13 Typical High $9.12 | Facility | None | $3.31 | $8.13 | $9.12 |
Cigna Setting Professional Modifier None Typical Low $2.14 Median $30.20 Typical High $30.20 | Professional | None | $2.14 | $30.20 | $30.20 |
United Setting Professional Modifier None Typical Low $1.78 Median $3.55 Typical High $6.03 | Professional | None | $1.78 | $3.55 | $6.03 |
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 $1.74 Median $1.82 Typical High $2.45 | Professional | 52 · Reduced service | $1.74 | $1.82 | $2.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.69 Median $0.72 Typical High $0.98 | Professional | 53 · Discontinued | $0.69 | $0.72 | $0.98 |
Where Kentucky sits
The same service costs 24.0 times more in Vermont 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· 44th of 51
$3.63
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.