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 $10.72 Median $13.49 Typical High $28.84 | Facility | None | $10.72 | $13.49 | $28.84 |
Aetna Setting Professional Modifier None Typical Low $10.72 Median $12.88 Typical High $15.49 | Professional | None | $10.72 | $12.88 | $15.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.00 Median $16.22 Typical High $16.98 | Facility | None | $10.00 | $16.22 | $16.98 |
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 $16.22 Median $19.50 Typical High $22.91 | Facility | None | $16.22 | $19.50 | $22.91 |
CareSource Setting Professional Modifier None Typical Low $16.22 Median $18.62 Typical High $26.30 | Professional | None | $16.22 | $18.62 | $26.30 |
Cigna Setting Facility Modifier None Typical Low $13.80 Median $25.70 Typical High $33.88 | Facility | None | $13.80 | $25.70 | $33.88 |
Cigna Setting Professional Modifier None Typical Low $7.41 Median $81.28 Typical High $81.28 | Professional | None | $7.41 | $81.28 | $81.28 |
United Setting Professional Modifier None Typical Low $6.76 Median $9.55 Typical High $16.98 | Professional | None | $6.76 | $9.55 | $16.98 |
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 $5.37 Median $6.76 Typical High $7.94 | Professional | 52 · Reduced service | $5.37 | $6.76 | $7.94 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.14 Median $2.69 Typical High $3.24 | Professional | 53 · Discontinued | $2.14 | $2.69 | $3.24 |
Where Kentucky sits
The same service costs 3.5 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· 49th of 51
$10.72
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.