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 $93.33 Median $112.20 Typical High $269.15 | Facility | None | $93.33 | $112.20 | $269.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $112.20 Typical High $112.20 | Professional | None (both parts) | $89.13 | $112.20 | $112.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $13.80 Median $13.80 Typical High $13.80 | Facility | None | $13.80 | $13.80 | $13.80 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $5.89 Median $6.92 Typical High $13.80 | Professional | None (both parts) | $5.89 | $6.92 | $13.80 |
CareSource Setting Facility Modifier None Typical Low $112.20 Median $1,513.56 Typical High $3,548.13 | Facility | None | $112.20 | $1,513.56 | $3,548.13 |
CareSource Setting Professional Modifier None (both parts) Typical Low $120.23 Median $151.36 Typical High $2,089.30 | Professional | None (both parts) | $120.23 | $151.36 | $2,089.30 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $162.18 Typical High $239.88 | Facility | None | $87.10 | $162.18 | $239.88 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $25.70 Median $120.23 Typical High $173.78 | Facility | TC · Technical part | $25.70 | $120.23 | $173.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $537.03 Typical High $537.03 | Professional | None (both parts) | $162.18 | $537.03 | $537.03 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None (both parts) | $30.20 | $30.20 | $30.20 |
United Setting Professional Modifier None (both parts) Typical Low $46.77 Median $67.61 Typical High $112.20 | Professional | None (both parts) | $46.77 | $67.61 | $112.20 |
2 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 52 · Reduced service Typical Low $45.71 Median $46.77 Typical High $56.23 | Professional | 52 · Reduced service | $45.71 | $46.77 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $18.62 Typical High $22.39 | Professional | 53 · Discontinued | $18.20 | $18.62 | $22.39 |
Where Kentucky sits
The same service costs 15.5 times more in Alaska 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
$13.80
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.