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 $11.75 Median $21.88 Typical High $63.10 | Facility | None | $11.75 | $21.88 | $63.10 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.34 Median $2.69 Typical High $10.47 | Facility | 53 · Discontinued | $2.34 | $2.69 | $10.47 |
Aetna Setting Professional Modifier None Typical Low $11.75 Median $33.11 Typical High $52.48 | Professional | None | $11.75 | $33.11 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.34 Median $3.09 Typical High $9.33 | Professional | 53 · Discontinued | $2.34 | $3.09 | $9.33 |
Ambetter Setting Professional Modifier None Typical Low $13.49 Median $14.13 Typical High $46.77 | Professional | None | $13.49 | $14.13 | $46.77 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.12 Median $12.02 Typical High $13.49 | Professional | None | $9.12 | $12.02 | $13.49 |
CareSource Setting Facility Modifier None Typical Low $9.55 Median $11.48 Typical High $17.78 | Facility | None | $9.55 | $11.48 | $17.78 |
CareSource Setting Professional Modifier None Typical Low $15.85 Median $43.65 Typical High $56.23 | Professional | None | $15.85 | $43.65 | $56.23 |
Cigna Setting Facility Modifier None Typical Low $18.62 Median $18.62 Typical High $18.62 | Facility | None | $18.62 | $18.62 | $18.62 |
Cigna Setting Professional Modifier None Typical Low $11.48 Median $44.67 Typical High $245.47 | Professional | None | $11.48 | $44.67 | $245.47 |
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 $11.75 Median $33.88 Typical High $66.07 | Professional | None | $11.75 | $33.88 | $66.07 |
3 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $13.49 Median $13.49 Typical High $13.49 | Professional | 59 · Distinct service | $13.49 | $13.49 | $13.49 |
Ambetter Setting Professional Modifier GC · Resident with teaching physician Typical Low $13.49 Median $13.49 Typical High $13.49 | Professional | GC · Resident with teaching physician | $13.49 | $13.49 | $13.49 |
Ambetter Setting Professional Modifier XU · Unusual separate service Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | XU · Unusual separate service | $15.14 | $15.14 | $15.14 |
Where Kentucky sits
The same service costs 6.8 times more in Minnesota than in Georgia. 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· 50th of 51
$14.13
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.