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 $660.69 Median $794.33 Typical High $1,905.46 | Facility | None | $660.69 | $794.33 | $1,905.46 |
Aetna Setting Professional Modifier None (both parts) Typical Low $602.56 Median $660.69 Typical High $794.33 | Professional | None (both parts) | $602.56 | $660.69 | $794.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $239.88 | Facility | None | $239.88 | $239.88 | $239.88 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $204.17 Median $239.88 Typical High $758.58 | Professional | None (both parts) | $204.17 | $239.88 | $758.58 |
CareSource Setting Facility Modifier None Typical Low $794.33 Median $10,715.19 Typical High $17,782.79 | Facility | None | $794.33 | $10,715.19 | $17,782.79 |
CareSource Setting Professional Modifier None (both parts) Typical Low $870.96 Median $1,122.02 Typical High $14,791.08 | Professional | None (both parts) | $870.96 | $1,122.02 | $14,791.08 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $1,148.15 Typical High $1,862.09 | Facility | None | $616.60 | $1,148.15 | $1,862.09 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $186.21 Median $851.14 Typical High $1,230.27 | Facility | TC · Technical part | $186.21 | $851.14 | $1,230.27 |
Cigna Setting Professional Modifier None (both parts) Typical Low $3,801.89 Median $3,801.89 Typical High $3,801.89 | Professional | None (both parts) | $3,801.89 | $3,801.89 | $3,801.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $3,801.89 Median $3,801.89 Typical High $3,801.89 | Professional | TC · Technical part | $3,801.89 | $3,801.89 | $3,801.89 |
United Setting Professional Modifier None (both parts) Typical Low $346.74 Median $478.63 Typical High $1,258.93 | Professional | None (both parts) | $346.74 | $478.63 | $1,258.93 |
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 $295.12 Median $323.59 Typical High $398.11 | Professional | 52 · Reduced service | $295.12 | $323.59 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $128.82 Typical High $158.49 | Professional | 53 · Discontinued | $120.23 | $128.82 | $158.49 |
Where Kentucky sits
The same service costs 12.0 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· 46th of 51
$479
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.