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 $2.45 Median $4.79 Typical High $4.90 | Facility | None | $2.45 | $4.79 | $4.90 |
Aetna Setting Professional Modifier None Typical Low $2.45 Median $4.79 Typical High $5.89 | Professional | None | $2.45 | $4.79 | $5.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.63 Median $5.89 Typical High $6.17 | Facility | None | $3.63 | $5.89 | $6.17 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.34 Median $3.63 Typical High $6.03 | Professional | None | $2.34 | $3.63 | $6.03 |
CareSource Setting Facility Modifier None Typical Low $5.89 Median $7.08 Typical High $8.32 | Facility | None | $5.89 | $7.08 | $8.32 |
CareSource Setting Professional Modifier None Typical Low $5.89 Median $7.41 Typical High $11.75 | Professional | None | $5.89 | $7.41 | $11.75 |
Cigna Setting Facility Modifier None Typical Low $4.57 Median $8.51 Typical High $12.59 | Facility | None | $4.57 | $8.51 | $12.59 |
Cigna Setting Professional Modifier None Typical Low $2.63 Median $38.90 Typical High $38.90 | Professional | None | $2.63 | $38.90 | $38.90 |
United Setting Professional Modifier None Typical Low $2.45 Median $3.63 Typical High $6.61 | Professional | None | $2.45 | $3.63 | $6.61 |
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 $1.23 Median $2.45 Typical High $2.95 | Professional | 52 · Reduced service | $1.23 | $2.45 | $2.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.49 Median $1.00 Typical High $1.17 | Professional | 53 · Discontinued | $0.49 | $1.00 | $1.17 |
Where Kentucky sits
The same service costs 3.9 times more in Kansas than in Vermont. 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· 50th of 51
$3.80
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.