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 $16.98 Median $21.88 Typical High $48.98 | Facility | None | $16.98 | $21.88 | $48.98 |
Aetna Setting Professional Modifier None Typical Low $16.98 Median $21.88 Typical High $28.18 | Professional | None | $16.98 | $21.88 | $28.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $16.22 Median $26.30 Typical High $27.54 | Facility | None | $16.22 | $26.30 | $27.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.88 Median $22.39 Typical High $36.31 | Professional | None | $12.88 | $22.39 | $36.31 |
CareSource Setting Facility Modifier None Typical Low $26.30 Median $31.62 Typical High $36.31 | Facility | None | $26.30 | $31.62 | $36.31 |
CareSource Setting Professional Modifier None Typical Low $26.30 Median $32.36 Typical High $52.48 | Professional | None | $26.30 | $32.36 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $20.42 Median $50.12 Typical High $54.95 | Facility | None | $20.42 | $50.12 | $54.95 |
Cigna Setting Professional Modifier None Typical Low $13.18 Median $173.78 Typical High $173.78 | Professional | None | $13.18 | $173.78 | $173.78 |
United Setting Professional Modifier None Typical Low $10.96 Median $21.88 Typical High $36.31 | Professional | None | $10.96 | $21.88 | $36.31 |
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 $8.51 Median $10.96 Typical High $13.18 | Professional | 52 · Reduced service | $8.51 | $10.96 | $13.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.39 Median $4.37 Typical High $5.25 | Professional | 53 · Discontinued | $3.39 | $4.37 | $5.25 |
Where Kentucky sits
The same service costs 6.0 times more in Alaska than in Alabama. 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· 36th of 51
$22.39
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.