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 $36.31 Median $41.69 Typical High $69.18 | Facility | None | $36.31 | $41.69 | $69.18 |
Aetna Setting Professional Modifier None Typical Low $36.31 Median $41.69 Typical High $45.71 | Professional | None | $36.31 | $41.69 | $45.71 |
Ambetter Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | None | $52.48 | $52.48 | $52.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,071.52 Median $2,041.74 Typical High $3,090.30 | Facility | None | $1,071.52 | $2,041.74 | $3,090.30 |
Anthem BCBS Setting Professional Modifier None Typical Low $30.90 Median $48.98 Typical High $77.62 | Professional | None | $30.90 | $48.98 | $77.62 |
CareSource Setting Facility Modifier None Typical Low $27.54 Median $33.88 Typical High $52.48 | Facility | None | $27.54 | $33.88 | $52.48 |
CareSource Setting Professional Modifier None Typical Low $32.36 Median $34.67 Typical High $45.71 | Professional | None | $32.36 | $34.67 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $281.84 Typical High $281.84 | Professional | None | $81.28 | $281.84 | $281.84 |
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 $31.62 Median $67.61 Typical High $83.18 | Professional | None | $31.62 | $67.61 | $83.18 |
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 $17.78 Median $19.05 Typical High $21.38 | Professional | 52 · Reduced service | $17.78 | $19.05 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $7.59 Typical High $8.71 | Professional | 53 · Discontinued | $7.24 | $7.59 | $8.71 |
Where Kentucky sits
The same service costs 5.4 times more in Vermont than in Utah. 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· 34th 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.