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 $1.58 Median $1.82 Typical High $2.14 | Facility | None | $1.58 | $1.82 | $2.14 |
Aetna Setting Professional Modifier None Typical Low $1.55 Median $1.82 Typical High $2.14 | Professional | None | $1.55 | $1.82 | $2.14 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.12 Median $1.38 Typical High $1.86 | Professional | None | $1.12 | $1.38 | $1.86 |
CareSource Setting Facility Modifier None Typical Low $1.70 Median $2.09 Typical High $3.24 | Facility | None | $1.70 | $2.09 | $3.24 |
CareSource Setting Professional Modifier None Typical Low $1.82 Median $2.29 Typical High $3.31 | Professional | None | $1.82 | $2.29 | $3.31 |
Cigna Setting Facility Modifier None Typical Low $3.63 Median $3.63 Typical High $3.63 | Facility | None | $3.63 | $3.63 | $3.63 |
Cigna Setting Professional Modifier None Typical Low $1.95 Median $5.01 Typical High $5.01 | Professional | None | $1.95 | $5.01 | $5.01 |
Molina Setting Professional Modifier None Typical Low $1.26 Median $33.11 Typical High $33.11 | Professional | None | $1.26 | $33.11 | $33.11 |
United Setting Professional Modifier None Typical Low $1.82 Median $2.24 Typical High $2.95 | Professional | None | $1.82 | $2.24 | $2.95 |
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 $1.05 Median $1.07 Typical High $1.07 | Facility | 52 · Reduced service | $1.05 | $1.07 | $1.07 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.42 Median $0.42 Typical High $0.43 | Facility | 53 · Discontinued | $0.42 | $0.42 | $0.43 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.05 Median $1.07 Typical High $1.07 | Professional | 52 · Reduced service | $1.05 | $1.07 | $1.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.42 Median $0.42 Typical High $0.43 | Professional | 53 · Discontinued | $0.42 | $0.42 | $0.43 |
Where Kentucky sits
The same service costs 2.2 times more in North Dakota than in Kentucky. 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· 51st of 51
$1.62
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.