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 $295.12 Median $302.00 Typical High $363.08 | Facility | None | $295.12 | $302.00 | $363.08 |
Aetna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $295.12 Typical High $363.08 | Professional | None (both parts) | $269.15 | $295.12 | $363.08 |
Anthem BCBS Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Facility | None | $204.17 | $204.17 | $204.17 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $173.78 Median $204.17 Typical High $309.03 | Professional | None (both parts) | $173.78 | $204.17 | $309.03 |
CareSource Setting Facility Modifier None Typical Low $363.08 Median $4,897.79 Typical High $11,481.54 | Facility | None | $363.08 | $4,897.79 | $11,481.54 |
CareSource Setting Professional Modifier None (both parts) Typical Low $398.11 Median $501.19 Typical High $6,760.83 | Professional | None (both parts) | $398.11 | $501.19 | $6,760.83 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $524.81 Typical High $851.14 | Facility | None | $281.84 | $524.81 | $851.14 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $83.18 Median $389.05 Typical High $562.34 | Facility | TC · Technical part | $83.18 | $389.05 | $562.34 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Professional | None (both parts) | $1,737.80 | $1,737.80 | $1,737.80 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Professional | TC · Technical part | $1,737.80 | $1,737.80 | $1,737.80 |
United Setting Professional Modifier None (both parts) Typical Low $154.88 Median $218.78 Typical High $575.44 | Professional | None (both parts) | $154.88 | $218.78 | $575.44 |
2 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 52 · Reduced service Typical Low $134.90 Median $147.91 Typical High $181.97 | Professional | 52 · Reduced service | $134.90 | $147.91 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $58.88 Typical High $72.44 | Professional | 53 · Discontinued | $53.70 | $58.88 | $72.44 |
Where Kentucky sits
The same service costs 12.0 times more in Texas than in New Mexico. 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
$219
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.