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 $8.32 Median $8.71 Typical High $16.22 | Facility | None | $8.32 | $8.71 | $16.22 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $4.17 Median $4.37 Typical High $8.13 | Facility | 52 · Reduced service | $4.17 | $4.37 | $8.13 |
Aetna Setting Professional Modifier None Typical Low $8.32 Median $12.02 Typical High $17.78 | Professional | None | $8.32 | $12.02 | $17.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.17 Median $5.50 Typical High $8.71 | Professional | 52 · Reduced service | $4.17 | $5.50 | $8.71 |
Ambetter Setting Professional Modifier None Typical Low $15.14 Median $17.78 Typical High $19.05 | Professional | None | $15.14 | $17.78 | $19.05 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.76 Median $10.72 Typical High $16.22 | Professional | None | $7.76 | $10.72 | $16.22 |
CareSource Setting Facility Modifier None Typical Low $6.76 Median $8.32 Typical High $13.49 | Facility | None | $6.76 | $8.32 | $13.49 |
CareSource Setting Professional Modifier None Typical Low $15.85 Median $16.98 Typical High $21.38 | Professional | None | $15.85 | $16.98 | $21.38 |
Cigna Setting Facility Modifier None Typical Low $11.22 Median $11.22 Typical High $11.22 | Facility | None | $11.22 | $11.22 | $11.22 |
Cigna Setting Professional Modifier None Typical Low $13.49 Median $15.14 Typical High $89.13 | Professional | None | $13.49 | $15.14 | $89.13 |
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 $8.91 Median $14.79 Typical High $20.89 | Professional | None | $8.91 | $14.79 | $20.89 |
1 more rate 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 $13.18 Median $14.79 Typical High $14.79 | Professional | 59 · Distinct service | $13.18 | $14.79 | $14.79 |
Where Kentucky sits
The same service costs 2.3 times more in Alaska than in Louisiana. 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
$14.45
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.