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 $28.18 Median $29.51 Typical High $52.48 | Facility | None | $28.18 | $29.51 | $52.48 |
Aetna Setting Professional Modifier None Typical Low $26.30 Median $29.51 Typical High $52.48 | Professional | None | $26.30 | $29.51 | $52.48 |
Ambetter Setting Professional Modifier None Typical Low $21.38 Median $23.99 Typical High $35.48 | Professional | None | $21.38 | $23.99 | $35.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $21.88 Median $35.48 Typical High $37.15 | Facility | None | $21.88 | $35.48 | $37.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $40.74 | Professional | None | $16.22 | $16.22 | $40.74 |
CareSource Setting Facility Modifier None Typical Low $35.48 Median $47.86 Typical High $48.98 | Facility | None | $35.48 | $47.86 | $48.98 |
CareSource Setting Professional Modifier None Typical Low $35.48 Median $45.71 Typical High $57.54 | Professional | None | $35.48 | $45.71 | $57.54 |
Cigna Setting Facility Modifier None Typical Low $27.54 Median $79.43 Typical High $83.18 | Facility | None | $27.54 | $79.43 | $83.18 |
Cigna Setting Professional Modifier None Typical Low $21.88 Median $169.82 Typical High $169.82 | Professional | None | $21.88 | $169.82 | $169.82 |
United Setting Professional Modifier None Typical Low $19.50 Median $28.84 Typical High $58.88 | Professional | None | $19.50 | $28.84 | $58.88 |
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 $13.18 Median $14.13 Typical High $26.30 | Professional | 52 · Reduced service | $13.18 | $14.13 | $26.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $5.62 Typical High $10.47 | Professional | 53 · Discontinued | $5.25 | $5.62 | $10.47 |
Where Kentucky sits
The same service costs 3.5 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· 41st of 51
$29.51
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.