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 $9.77 Median $10.00 Typical High $22.91 | Facility | None | $9.77 | $10.00 | $22.91 |
Aetna Setting Professional Modifier None Typical Low $9.55 Median $10.00 Typical High $11.75 | Professional | None | $9.55 | $10.00 | $11.75 |
Ambetter Setting Professional Modifier None Typical Low $7.41 Median $17.78 Typical High $17.78 | Professional | None | $7.41 | $17.78 | $17.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $7.41 Median $12.02 Typical High $12.59 | Facility | None | $7.41 | $12.02 | $12.59 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.46 Median $9.77 Typical High $15.85 | Professional | None | $6.46 | $9.77 | $15.85 |
CareSource Setting Facility Modifier None Typical Low $12.02 Median $14.45 Typical High $16.98 | Facility | None | $12.02 | $14.45 | $16.98 |
CareSource Setting Professional Modifier None Typical Low $12.02 Median $13.80 Typical High $19.95 | Professional | None | $12.02 | $13.80 | $19.95 |
Cigna Setting Facility Modifier None Typical Low $10.47 Median $25.70 Typical High $25.70 | Facility | None | $10.47 | $25.70 | $25.70 |
Cigna Setting Professional Modifier None Typical Low $6.17 Median $81.28 Typical High $81.28 | Professional | None | $6.17 | $81.28 | $81.28 |
United Setting Professional Modifier None Typical Low $5.01 Median $9.55 Typical High $15.49 | Professional | None | $5.01 | $9.55 | $15.49 |
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 $4.79 Median $5.01 Typical High $6.03 | Professional | 52 · Reduced service | $4.79 | $5.01 | $6.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.95 Median $2.00 Typical High $2.40 | Professional | 53 · Discontinued | $1.95 | $2.00 | $2.40 |
Where Kentucky sits
The same service costs 5.5 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· 44th of 51
$10.00
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.