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 $776.25 Median $794.33 Typical High $954.99 | Facility | None | $776.25 | $794.33 | $954.99 |
Aetna Setting Professional Modifier None (both parts) Typical Low $776.25 Median $794.33 Typical High $954.99 | Professional | None (both parts) | $776.25 | $794.33 | $954.99 |
Anthem BCBS Setting Facility Modifier None Typical Low $588.84 Median $954.99 Typical High $1,000.00 | Facility | None | $588.84 | $954.99 | $1,000.00 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $251.19 Median $338.84 Typical High $338.84 | Professional | None (both parts) | $251.19 | $338.84 | $338.84 |
CareSource Setting Facility Modifier None Typical Low $954.99 Median $12,882.50 Typical High $21,379.62 | Facility | None | $954.99 | $12,882.50 | $21,379.62 |
CareSource Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,288.25 Typical High $17,782.79 | Professional | None (both parts) | $1,023.29 | $1,288.25 | $17,782.79 |
Cigna Setting Facility Modifier None Typical Low $741.31 Median $1,380.38 Typical High $1,995.26 | Facility | None | $741.31 | $1,380.38 | $1,995.26 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $218.78 Median $1,023.29 Typical High $1,479.11 | Facility | TC · Technical part | $218.78 | $1,023.29 | $1,479.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,348.96 Median $4,570.88 Typical High $4,570.88 | Professional | None (both parts) | $1,348.96 | $4,570.88 | $4,570.88 |
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 $398.11 Median $575.44 Typical High $954.99 | Professional | None (both parts) | $398.11 | $575.44 | $954.99 |
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 $776.25 Median $794.33 Typical High $954.99 | Professional | 26 · Professional part | $776.25 | $794.33 | $954.99 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $389.05 Median $398.11 Typical High $478.63 | Professional | 52 · Reduced service | $389.05 | $398.11 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $158.49 Typical High $190.55 | Professional | 53 · Discontinued | $154.88 | $158.49 | $190.55 |
Where Kentucky sits
The same service costs 3.7 times more in Wyoming than in Mississippi. 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· 45th of 51
$575
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.