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 $537.03 Median $562.34 Typical High $660.69 | Facility | None | $537.03 | $562.34 | $660.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $537.03 Median $562.34 Typical High $660.69 | Professional | None (both parts) | $537.03 | $562.34 | $660.69 |
Anthem BCBS Setting Facility Modifier None Typical Low $12.30 Median $12.30 Typical High $12.30 | Facility | None | $12.30 | $12.30 | $12.30 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $10.47 Median $12.30 Typical High $13.49 | Professional | None (both parts) | $10.47 | $12.30 | $13.49 |
CareSource Setting Facility Modifier None Typical Low $660.69 Median $8,912.51 Typical High $20,892.96 | Facility | None | $660.69 | $8,912.51 | $20,892.96 |
CareSource Setting Professional Modifier None (both parts) Typical Low $707.95 Median $891.25 Typical High $12,302.69 | Professional | None (both parts) | $707.95 | $891.25 | $12,302.69 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $977.24 Typical High $1,412.54 | Facility | None | $512.86 | $977.24 | $1,412.54 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $154.88 Median $724.44 Typical High $1,023.29 | Facility | TC · Technical part | $154.88 | $724.44 | $1,023.29 |
Cigna Setting Professional Modifier None (both parts) Typical Low $954.99 Median $3,162.28 Typical High $3,162.28 | Professional | None (both parts) | $954.99 | $3,162.28 | $3,162.28 |
United Setting Professional Modifier None (both parts) Typical Low $275.42 Median $398.11 Typical High $660.69 | Professional | None (both parts) | $275.42 | $398.11 | $660.69 |
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 $269.15 Median $275.42 Typical High $331.13 | Professional | 52 · Reduced service | $269.15 | $275.42 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $112.20 Typical High $131.83 | Professional | 53 · Discontinued | $107.15 | $112.20 | $131.83 |
Where Kentucky sits
The same service costs 114.8 times more in Wisconsin 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· 50th of 51
$13.18
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.