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 $34.67 Median $36.31 Typical High $81.28 | Facility | None | $34.67 | $36.31 | $81.28 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $34.67 Typical High $51.29 | Professional | None | $32.36 | $34.67 | $51.29 |
Ambetter Setting Professional Modifier None Typical Low $29.51 Median $53.70 Typical High $53.70 | Professional | None | $29.51 | $53.70 | $53.70 |
Anthem BCBS Setting Facility Modifier None Typical Low $26.92 Median $42.66 Typical High $44.67 | Facility | None | $26.92 | $42.66 | $44.67 |
Anthem BCBS Setting Professional Modifier None Typical Low $21.38 Median $28.84 Typical High $58.88 | Professional | None | $21.38 | $28.84 | $58.88 |
CareSource Setting Facility Modifier None Typical Low $42.66 Median $57.54 Typical High $60.26 | Facility | None | $42.66 | $57.54 | $60.26 |
CareSource Setting Professional Modifier None Typical Low $42.66 Median $56.23 Typical High $70.79 | Professional | None | $42.66 | $56.23 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $33.11 Median $125.89 Typical High $125.89 | Facility | None | $33.11 | $125.89 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $26.92 Median $281.84 Typical High $281.84 | Professional | None | $26.92 | $281.84 | $281.84 |
United Setting Professional Modifier None Typical Low $23.44 Median $36.31 Typical High $72.44 | Professional | None | $23.44 | $36.31 | $72.44 |
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 $16.22 Median $17.38 Typical High $21.38 | Professional | 52 · Reduced service | $16.22 | $17.38 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $6.92 Typical High $8.51 | Professional | 53 · Discontinued | $6.46 | $6.92 | $8.51 |
Where Kentucky sits
The same service costs 4.2 times more in Vermont 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
$38.90
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.