How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $3,162.28 Median $3,235.94 Typical High $3,890.45 | Facility | None | $3,162.28 | $3,235.94 | $3,890.45 |
Aetna Setting Professional Modifier None (both parts) Typical Low $2,884.03 Median $3,162.28 Typical High $3,890.45 | Professional | None (both parts) | $2,884.03 | $3,162.28 | $3,890.45 |
Anthem BCBS Setting Facility Modifier None Typical Low $2,398.83 Median $3,890.45 Typical High $4,073.80 | Facility | None | $2,398.83 | $3,890.45 | $4,073.80 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $724.44 Median $851.14 Typical High $3,890.45 | Professional | None (both parts) | $724.44 | $851.14 | $3,890.45 |
CareSource Setting Facility Modifier None Typical Low $3,890.45 Median $52,480.75 Typical High $87,096.36 | Facility | None | $3,890.45 | $52,480.75 | $87,096.36 |
CareSource Setting Professional Modifier None (both parts) Typical Low $4,265.80 Median $5,370.32 Typical High $72,443.60 | Professional | None (both parts) | $4,265.80 | $5,370.32 | $72,443.60 |
Cigna Setting Facility Modifier None Typical Low $3,019.95 Median $5,623.41 Typical High $9,120.11 | Facility | None | $3,019.95 | $5,623.41 | $9,120.11 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $891.25 Median $4,168.69 Typical High $6,025.60 | Facility | TC · Technical part | $891.25 | $4,168.69 | $6,025.60 |
Cigna Setting Professional Modifier None (both parts) Typical Low $18,620.87 Median $18,620.87 Typical High $18,620.87 | Professional | None (both parts) | $18,620.87 | $18,620.87 | $18,620.87 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18,620.87 Median $18,620.87 Typical High $18,620.87 | Professional | TC · Technical part | $18,620.87 | $18,620.87 | $18,620.87 |
Molina Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | None (both parts) | $100.00 | $100.00 | $100.00 |
United Setting Professional Modifier None (both parts) Typical Low $1,659.59 Median $2,344.23 Typical High $6,165.95 | Professional | None (both parts) | $1,659.59 | $2,344.23 | $6,165.95 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 26 · Professional part Typical Low $2,884.03 Median $3,162.28 Typical High $3,890.45 | Professional | 26 · Professional part | $2,884.03 | $3,162.28 | $3,890.45 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,445.44 Median $1,584.89 Typical High $1,949.84 | Professional | 52 · Reduced service | $1,445.44 | $1,584.89 | $1,949.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $575.44 Median $630.96 Typical High $776.25 | Professional | 53 · Discontinued | $575.44 | $630.96 | $776.25 |
Where Kentucky sits
The same service costs 12.0 times more in Texas than in Alabama. 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· 47th of 51
$2,344
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.