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 $37.15 Median $45.71 Typical High $48.98 | Facility | None | $37.15 | $45.71 | $48.98 |
Aetna Setting Professional Modifier None Typical Low $37.15 Median $45.71 Typical High $56.23 | Professional | None | $37.15 | $45.71 | $56.23 |
Ambetter Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | None | $57.54 | $57.54 | $57.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $33.88 Median $42.66 Typical High $56.23 | Professional | None | $33.88 | $42.66 | $56.23 |
CareSource Setting Facility Modifier None Typical Low $30.20 Median $40.74 Typical High $57.54 | Facility | None | $30.20 | $40.74 | $57.54 |
CareSource Setting Professional Modifier None Typical Low $34.67 Median $44.67 Typical High $52.48 | Professional | None | $34.67 | $44.67 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Facility | None | $58.88 | $58.88 | $58.88 |
Cigna Setting Professional Modifier None Typical Low $37.15 Median $57.54 Typical High $245.47 | Professional | None | $37.15 | $57.54 | $245.47 |
Molina Setting Professional Modifier None Typical Low $32.36 Median $33.11 Typical High $33.11 | Professional | None | $32.36 | $33.11 | $33.11 |
United Setting Professional Modifier None Typical Low $36.31 Median $51.29 Typical High $87.10 | Professional | None | $36.31 | $51.29 | $87.10 |
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 $18.62 Median $22.91 Typical High $24.55 | Facility | 52 · Reduced service | $18.62 | $22.91 | $24.55 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $7.41 Median $9.12 Typical High $10.00 | Facility | 53 · Discontinued | $7.41 | $9.12 | $10.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $18.62 Median $22.39 Typical High $23.44 | Professional | 52 · Reduced service | $18.62 | $22.39 | $23.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $8.91 Typical High $9.55 | Professional | 53 · Discontinued | $7.41 | $8.91 | $9.55 |
Where Kentucky sits
The same service costs 2.8 times more in Alaska 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
$44.67
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.