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 $1,621.81 Median $1,737.80 Typical High $4,677.35 | Facility | None | $1,621.81 | $1,737.80 | $4,677.35 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,230.27 Median $1,621.81 Typical High $1,737.80 | Professional | None (both parts) | $1,230.27 | $1,621.81 | $1,737.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Facility | None | $1,445.44 | $1,445.44 | $1,445.44 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $1,230.27 Median $1,445.44 Typical High $1,905.46 | Professional | None (both parts) | $1,230.27 | $1,445.44 | $1,905.46 |
CareSource Setting Facility Modifier None Typical Low $1,949.84 Median $26,302.68 Typical High $43,651.58 | Facility | None | $1,949.84 | $26,302.68 | $43,651.58 |
CareSource Setting Professional Modifier None (both parts) Typical Low $2,137.96 Median $2,754.23 Typical High $36,307.81 | Professional | None (both parts) | $2,137.96 | $2,754.23 | $36,307.81 |
Cigna Setting Facility Modifier None Typical Low $1,513.56 Median $2,818.38 Typical High $4,570.88 | Facility | None | $1,513.56 | $2,818.38 | $4,570.88 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $457.09 Median $2,089.30 Typical High $3,019.95 | Facility | TC · Technical part | $457.09 | $2,089.30 | $3,019.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $9,332.54 Median $9,332.54 Typical High $9,332.54 | Professional | None (both parts) | $9,332.54 | $9,332.54 | $9,332.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $9,332.54 Median $9,332.54 Typical High $9,332.54 | Professional | TC · Technical part | $9,332.54 | $9,332.54 | $9,332.54 |
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 $812.83 Median $1,047.13 Typical High $2,818.38 | Professional | None (both parts) | $812.83 | $1,047.13 | $2,818.38 |
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 $1,479.11 Median $1,584.89 Typical High $1,949.84 | Professional | 26 · Professional part | $1,479.11 | $1,584.89 | $1,949.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $707.95 Median $794.33 Typical High $977.24 | Professional | 52 · Reduced service | $707.95 | $794.33 | $977.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $281.84 Median $316.23 Typical High $389.05 | Professional | 53 · Discontinued | $281.84 | $316.23 | $389.05 |
Where Kentucky sits
The same service costs 154.9 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· 29th of 51
$1,445
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.