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 $28.84 Median $97.72 Typical High $131.83 | Facility | None | $28.84 | $97.72 | $131.83 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $57.54 Typical High $131.83 | Professional | None | $28.84 | $57.54 | $131.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $26.92 Median $45.71 Typical High $77.62 | Professional | None | $26.92 | $45.71 | $77.62 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $40.74 Median $69.18 Typical High $117.49 | Professional | 50 · Both sides | $40.74 | $69.18 | $117.49 |
CareSource Setting Facility Modifier None Typical Low $24.55 Median $29.51 Typical High $46.77 | Facility | None | $24.55 | $29.51 | $46.77 |
CareSource Setting Professional Modifier None Typical Low $28.84 Median $40.74 Typical High $47.86 | Professional | None | $28.84 | $40.74 | $47.86 |
Cigna Setting Facility Modifier None Typical Low $45.71 Median $45.71 Typical High $45.71 | Facility | None | $45.71 | $45.71 | $45.71 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $91.20 Typical High $645.65 | Professional | None | $32.36 | $91.20 | $645.65 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
United Setting Professional Modifier None Typical Low $28.18 Median $48.98 Typical High $91.20 | Professional | None | $28.18 | $48.98 | $91.20 |
4 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 Facility Modifier 52 · Reduced service Typical Low $14.13 Median $48.98 Typical High $66.07 | Facility | 52 · Reduced service | $14.13 | $48.98 | $66.07 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.75 Median $19.95 Typical High $26.92 | Facility | 53 · Discontinued | $5.75 | $19.95 | $26.92 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $14.13 Median $25.12 Typical High $66.07 | Professional | 52 · Reduced service | $14.13 | $25.12 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $10.23 Typical High $26.92 | Professional | 53 · Discontinued | $5.75 | $10.23 | $26.92 |
Where Kentucky sits
The same service costs 4.2 times more in Washington 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· 49th of 51
$48.98
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.