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 $331.13 Median $389.05 Typical High $933.25 | Facility | None | $331.13 | $389.05 | $933.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $389.05 Typical High $389.05 | Professional | None (both parts) | $309.03 | $389.05 | $389.05 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $5.37 Median $6.46 Typical High $223.87 | Professional | None (both parts) | $5.37 | $6.46 | $223.87 |
CareSource Setting Facility Modifier None Typical Low $389.05 Median $5,248.07 Typical High $8,912.51 | Facility | None | $389.05 | $5,248.07 | $8,912.51 |
CareSource Setting Professional Modifier None (both parts) Typical Low $416.87 Median $524.81 Typical High $7,244.36 | Professional | None (both parts) | $416.87 | $524.81 | $7,244.36 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $575.44 Typical High $831.76 | Facility | None | $302.00 | $575.44 | $831.76 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $91.20 Median $426.58 Typical High $602.56 | Facility | TC · Technical part | $91.20 | $426.58 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $562.34 Median $1,862.09 Typical High $1,862.09 | Professional | None (both parts) | $562.34 | $1,862.09 | $1,862.09 |
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 $165.96 Median $234.42 Typical High $389.05 | Professional | None (both parts) | $165.96 | $234.42 | $389.05 |
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 $158.49 Median $165.96 Typical High $194.98 | Professional | 52 · Reduced service | $158.49 | $165.96 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $66.07 Typical High $77.62 | Professional | 53 · Discontinued | $63.10 | $66.07 | $77.62 |
Where Kentucky sits
The same service costs 134.9 times more in Alaska than in Kentucky. 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· 51st of 51
$6.46
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.