How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $10.96 Median $11.48 Typical High $16.60 | Facility | None | $10.96 | $11.48 | $16.60 |
Aetna Setting Professional Modifier None Typical Low $10.96 Median $11.48 Typical High $16.60 | Professional | None | $10.96 | $11.48 | $16.60 |
Anthem BCBS Setting Facility Modifier None Typical Low $8.51 Median $13.49 Typical High $14.45 | Facility | None | $8.51 | $13.49 | $14.45 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.33 Median $13.49 Typical High $17.38 | Professional | None | $9.33 | $13.49 | $17.38 |
CareSource Setting Facility Modifier None Typical Low $13.49 Median $16.22 Typical High $19.05 | Facility | None | $13.49 | $16.22 | $19.05 |
CareSource Setting Professional Modifier None Typical Low $13.49 Median $16.98 Typical High $26.92 | Professional | None | $13.49 | $16.98 | $26.92 |
Cigna Setting Facility Modifier None Typical Low $10.47 Median $19.95 Typical High $28.84 | Facility | None | $10.47 | $19.95 | $28.84 |
Cigna Setting Professional Modifier None Typical Low $6.31 Median $79.43 Typical High $79.43 | Professional | None | $6.31 | $79.43 | $79.43 |
United Setting Professional Modifier None Typical Low $5.75 Median $9.55 Typical High $16.60 | Professional | None | $5.75 | $9.55 | $16.60 |
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 $5.50 Median $5.75 Typical High $8.13 | Professional | 52 · Reduced service | $5.50 | $5.75 | $8.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.19 Median $2.29 Typical High $3.31 | Professional | 53 · Discontinued | $2.19 | $2.29 | $3.31 |
Where Kentucky sits
The same service costs 4.6 times more in Vermont than in New Jersey. 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· 24th of 51
$13.49
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.