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 $21.38 Median $58.88 Typical High $67.61 | Facility | None | $21.38 | $58.88 | $67.61 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $58.88 Typical High $67.61 | Professional | None | $21.38 | $58.88 | $67.61 |
Anthem BCBS Setting Professional Modifier None Typical Low $19.05 Median $40.74 Typical High $57.54 | Professional | None | $19.05 | $40.74 | $57.54 |
CareSource Setting Facility Modifier None Typical Low $17.78 Median $21.38 Typical High $33.11 | Facility | None | $17.78 | $21.38 | $33.11 |
CareSource Setting Professional Modifier None Typical Low $20.89 Median $26.92 Typical High $33.11 | Professional | None | $20.89 | $26.92 | $33.11 |
Cigna Setting Facility Modifier None Typical Low $25.70 Median $31.62 Typical High $43.65 | Facility | None | $25.70 | $31.62 | $43.65 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $64.57 Typical High $363.08 | Professional | None | $21.38 | $64.57 | $363.08 |
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 $21.88 Median $50.12 Typical High $91.20 | Professional | None | $21.88 | $50.12 | $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 $10.72 Median $29.51 Typical High $33.88 | Facility | 52 · Reduced service | $10.72 | $29.51 | $33.88 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.37 Median $11.75 Typical High $13.49 | Facility | 53 · Discontinued | $4.37 | $11.75 | $13.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.72 Median $29.51 Typical High $33.88 | Professional | 52 · Reduced service | $10.72 | $29.51 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.37 Median $11.75 Typical High $13.49 | Professional | 53 · Discontinued | $4.37 | $11.75 | $13.49 |
Where Kentucky sits
The same service costs 3.9 times more in Hawaii than in Washington, DC. 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· 47th of 51
$40.74
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.