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 $2,344.23 Median $2,454.71 Typical High $2,951.21 | Facility | None | $2,344.23 | $2,454.71 | $2,951.21 |
Aetna Setting Professional Modifier None (both parts) Typical Low $2,187.76 Median $2,344.23 Typical High $2,951.21 | Professional | None (both parts) | $2,187.76 | $2,344.23 | $2,951.21 |
Anthem BCBS Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Facility | None | $208.93 | $208.93 | $208.93 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $177.83 Median $208.93 Typical High $389.05 | Professional | None (both parts) | $177.83 | $208.93 | $389.05 |
CareSource Setting Facility Modifier None Typical Low $2,951.21 Median $38,904.51 Typical High $66,069.34 | Facility | None | $2,951.21 | $38,904.51 | $66,069.34 |
CareSource Setting Professional Modifier None (both parts) Typical Low $3,235.94 Median $4,073.80 Typical High $53,703.18 | Professional | None (both parts) | $3,235.94 | $4,073.80 | $53,703.18 |
Cigna Setting Facility Modifier None Typical Low $2,290.87 Median $4,265.80 Typical High $6,918.31 | Facility | None | $2,290.87 | $4,265.80 | $6,918.31 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $676.08 Median $3,162.28 Typical High $4,466.84 | Facility | TC · Technical part | $676.08 | $3,162.28 | $4,466.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $14,125.38 Median $14,125.38 Typical High $14,125.38 | Professional | None (both parts) | $14,125.38 | $14,125.38 | $14,125.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $14,125.38 Median $14,125.38 Typical High $14,125.38 | Professional | TC · Technical part | $14,125.38 | $14,125.38 | $14,125.38 |
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 $1,258.93 Median $1,737.80 Typical High $4,677.35 | Professional | None (both parts) | $1,258.93 | $1,737.80 | $4,677.35 |
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 $2,187.76 Median $2,344.23 Typical High $2,951.21 | Professional | 26 · Professional part | $2,187.76 | $2,344.23 | $2,951.21 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,096.48 Median $1,174.90 Typical High $1,445.44 | Professional | 52 · Reduced service | $1,096.48 | $1,174.90 | $1,445.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $436.52 Median $467.74 Typical High $588.84 | Professional | 53 · Discontinued | $436.52 | $467.74 | $588.84 |
Where Kentucky sits
The same service costs 30.9 times more in Texas 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
$1,738
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.