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 $489.78 Median $512.86 Typical High $602.56 | Facility | None | $489.78 | $512.86 | $602.56 |
Aetna Setting Professional Modifier None (both parts) Typical Low $457.09 Median $489.78 Typical High $602.56 | Professional | None (both parts) | $457.09 | $489.78 | $602.56 |
Anthem BCBS Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Facility | None | $457.09 | $457.09 | $457.09 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $389.05 Median $457.09 Typical High $602.56 | Professional | None (both parts) | $389.05 | $457.09 | $602.56 |
CareSource Setting Facility Modifier None Typical Low $602.56 Median $8,128.31 Typical High $13,803.84 | Facility | None | $602.56 | $8,128.31 | $13,803.84 |
CareSource Setting Professional Modifier None (both parts) Typical Low $676.08 Median $851.14 Typical High $11,220.18 | Professional | None (both parts) | $676.08 | $851.14 | $11,220.18 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $891.25 Typical High $1,445.44 | Facility | None | $478.63 | $891.25 | $1,445.44 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $141.25 Median $660.69 Typical High $933.25 | Facility | TC · Technical part | $141.25 | $660.69 | $933.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Professional | None (both parts) | $2,951.21 | $2,951.21 | $2,951.21 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Professional | TC · Technical part | $2,951.21 | $2,951.21 | $2,951.21 |
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 $263.03 Median $363.08 Typical High $977.24 | Professional | None (both parts) | $263.03 | $363.08 | $977.24 |
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 $457.09 Median $489.78 Typical High $602.56 | Professional | 26 · Professional part | $457.09 | $489.78 | $602.56 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $229.09 Median $245.47 Typical High $302.00 | Professional | 52 · Reduced service | $229.09 | $245.47 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $97.72 Typical High $123.03 | Professional | 53 · Discontinued | $91.20 | $97.72 | $123.03 |
Where Kentucky sits
The same service costs 47.9 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· 36th of 51
$457
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.