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 $21.88 Median $28.84 Typical High $30.90 | Facility | None | $21.88 | $28.84 | $30.90 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $10.96 Median $14.45 Typical High $15.49 | Facility | 52 · Reduced service | $10.96 | $14.45 | $15.49 |
Aetna Setting Professional Modifier None Typical Low $21.88 Median $28.84 Typical High $30.90 | Professional | None | $21.88 | $28.84 | $30.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.96 Median $14.45 Typical High $15.49 | Professional | 52 · Reduced service | $10.96 | $14.45 | $15.49 |
Ambetter Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | None | $27.54 | $27.54 | $27.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $14.79 Median $17.78 Typical High $23.99 | Professional | None | $14.79 | $17.78 | $23.99 |
CareSource Setting Facility Modifier None Typical Low $28.18 Median $38.02 Typical High $44.67 | Facility | None | $28.18 | $38.02 | $44.67 |
CareSource Setting Professional Modifier None Typical Low $30.20 Median $31.62 Typical High $40.74 | Professional | None | $30.20 | $31.62 | $40.74 |
Cigna Setting Facility Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15 | Facility | None | $37.15 | $37.15 | $37.15 |
Cigna Setting Professional Modifier None Typical Low $18.20 Median $19.50 Typical High $165.96 | Professional | None | $18.20 | $19.50 | $165.96 |
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 $21.88 Median $25.70 Typical High $45.71 | Professional | None | $21.88 | $25.70 | $45.71 |
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 $27.54 Median $27.54 Typical High $34.67 | Professional | 59 · Distinct service | $27.54 | $27.54 | $34.67 |
Where Kentucky sits
The same service costs 2.7 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
$19.50
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.