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 $602.56 Median $724.44 Typical High $1,737.80 | Facility | None | $602.56 | $724.44 | $1,737.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $537.03 Median $575.44 Typical High $724.44 | Professional | None (both parts) | $537.03 | $575.44 | $724.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Facility | None | $229.09 | $229.09 | $229.09 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $194.98 Median $229.09 Typical High $371.54 | Professional | None (both parts) | $194.98 | $229.09 | $371.54 |
CareSource Setting Facility Modifier None Typical Low $724.44 Median $9,772.37 Typical High $22,908.68 | Facility | None | $724.44 | $9,772.37 | $22,908.68 |
CareSource Setting Professional Modifier None (both parts) Typical Low $794.33 Median $1,000.00 Typical High $13,489.63 | Professional | None (both parts) | $794.33 | $1,000.00 | $13,489.63 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $1,047.13 Typical High $1,698.24 | Facility | None | $562.34 | $1,047.13 | $1,698.24 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $165.96 Median $776.25 Typical High $1,122.02 | Facility | TC · Technical part | $165.96 | $776.25 | $1,122.02 |
Cigna Setting Professional Modifier None (both parts) Typical Low $3,467.37 Median $3,467.37 Typical High $3,467.37 | Professional | None (both parts) | $3,467.37 | $3,467.37 | $3,467.37 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $3,467.37 Median $3,467.37 Typical High $3,467.37 | Professional | TC · Technical part | $3,467.37 | $3,467.37 | $3,467.37 |
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 $309.03 Median $436.52 Typical High $1,148.15 | Professional | None (both parts) | $309.03 | $436.52 | $1,148.15 |
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 $537.03 Median $588.84 Typical High $724.44 | Professional | 26 · Professional part | $537.03 | $588.84 | $724.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $269.15 Median $288.40 Typical High $363.08 | Professional | 52 · Reduced service | $269.15 | $288.40 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $117.49 Typical High $144.54 | Professional | 53 · Discontinued | $107.15 | $117.49 | $144.54 |
Where Kentucky sits
The same service costs 10.2 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
$427
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.