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 $1,995.26 Median $2,041.74 Typical High $2,454.71 | Facility | None | $1,995.26 | $2,041.74 | $2,454.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,819.70 Median $1,995.26 Typical High $2,454.71 | Professional | None (both parts) | $1,819.70 | $1,995.26 | $2,454.71 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $7.76 Median $9.12 Typical High $14.79 | Professional | None (both parts) | $7.76 | $9.12 | $14.79 |
CareSource Setting Facility Modifier None Typical Low $2,454.71 Median $33,113.11 Typical High $77,624.71 | Facility | None | $2,454.71 | $33,113.11 | $77,624.71 |
CareSource Setting Professional Modifier None (both parts) Typical Low $2,691.53 Median $3,467.37 Typical High $45,708.82 | Professional | None (both parts) | $2,691.53 | $3,467.37 | $45,708.82 |
Cigna Setting Facility Modifier None Typical Low $1,905.46 Median $3,548.13 Typical High $5,754.40 | Facility | None | $1,905.46 | $3,548.13 | $5,754.40 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $562.34 Median $2,630.27 Typical High $3,801.89 | Facility | TC · Technical part | $562.34 | $2,630.27 | $3,801.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $11,748.98 Median $11,748.98 Typical High $11,748.98 | Professional | None (both parts) | $11,748.98 | $11,748.98 | $11,748.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $11,748.98 Median $11,748.98 Typical High $11,748.98 | Professional | TC · Technical part | $11,748.98 | $11,748.98 | $11,748.98 |
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 $1,071.52 Median $1,479.11 Typical High $3,890.45 | Professional | None (both parts) | $1,071.52 | $1,479.11 | $3,890.45 |
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 $1,819.70 Median $1,995.26 Typical High $2,454.71 | Professional | 26 · Professional part | $1,819.70 | $1,995.26 | $2,454.71 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $912.01 Median $1,000.00 Typical High $1,230.27 | Professional | 52 · Reduced service | $912.01 | $1,000.00 | $1,230.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $363.08 Median $398.11 Typical High $489.78 | Professional | 53 · Discontinued | $363.08 | $398.11 | $489.78 |
Where Kentucky sits
The same service costs 8.9 times more in Alaska than in Ohio. 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
$1,479
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.