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 $12.02 Median $22.91 Typical High $51.29 | Facility | None | $12.02 | $22.91 | $51.29 |
Aetna Setting Professional Modifier None Typical Low $12.02 Median $27.54 Typical High $44.67 | Professional | None | $12.02 | $27.54 | $44.67 |
Ambetter Setting Professional Modifier None Typical Low $12.30 Median $12.88 Typical High $12.88 | Professional | None | $12.30 | $12.88 | $12.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.12 Median $21.88 Typical High $36.31 | Professional | None | $9.12 | $21.88 | $36.31 |
CareSource Setting Facility Modifier None Typical Low $9.33 Median $11.22 Typical High $17.38 | Facility | None | $9.33 | $11.22 | $17.38 |
CareSource Setting Professional Modifier None Typical Low $15.85 Median $33.11 Typical High $44.67 | Professional | None | $15.85 | $33.11 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $16.98 Median $16.98 Typical High $16.98 | Facility | None | $16.98 | $16.98 | $16.98 |
Cigna Setting Professional Modifier None Typical Low $10.96 Median $33.11 Typical High $177.83 | Professional | None | $10.96 | $33.11 | $177.83 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $33.11 Typical High $33.11 | Professional | None | $30.20 | $33.11 | $33.11 |
United Setting Professional Modifier None Typical Low $13.49 Median $33.88 Typical High $54.95 | Professional | None | $13.49 | $33.88 | $54.95 |
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 $6.03 Median $7.08 Typical High $21.88 | Facility | 52 · Reduced service | $6.03 | $7.08 | $21.88 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.40 Median $2.82 Typical High $8.71 | Facility | 53 · Discontinued | $2.40 | $2.82 | $8.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.03 Median $12.59 Typical High $20.42 | Professional | 52 · Reduced service | $6.03 | $12.59 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.40 Median $5.01 Typical High $8.32 | Professional | 53 · Discontinued | $2.40 | $5.01 | $8.32 |
Where Kentucky sits
The same service costs 2.5 times more in Kansas 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· 48th of 51
$25.12
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.