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 $2,884.03 Median $3,019.95 Typical High $3,630.78 | Facility | None | $2,884.03 | $3,019.95 | $3,630.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $2,691.53 Median $2,884.03 Typical High $3,630.78 | Professional | None (both parts) | $2,691.53 | $2,884.03 | $3,630.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Facility | None | $1,445.44 | $1,445.44 | $1,445.44 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $1,230.27 Median $1,445.44 Typical High $3,630.78 | Professional | None (both parts) | $1,230.27 | $1,445.44 | $3,630.78 |
CareSource Setting Facility Modifier None Typical Low $3,630.78 Median $47,863.01 Typical High $81,283.05 | Facility | None | $3,630.78 | $47,863.01 | $81,283.05 |
CareSource Setting Professional Modifier None (both parts) Typical Low $3,981.07 Median $5,011.87 Typical High $66,069.34 | Professional | None (both parts) | $3,981.07 | $5,011.87 | $66,069.34 |
Cigna Setting Facility Modifier None Typical Low $2,818.38 Median $5,248.07 Typical High $8,511.38 | Facility | None | $2,818.38 | $5,248.07 | $8,511.38 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $831.76 Median $3,890.45 Typical High $5,623.41 | Facility | TC · Technical part | $831.76 | $3,890.45 | $5,623.41 |
Cigna Setting Professional Modifier None (both parts) Typical Low $17,378.01 Median $17,378.01 Typical High $17,378.01 | Professional | None (both parts) | $17,378.01 | $17,378.01 | $17,378.01 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17,378.01 Median $17,378.01 Typical High $17,378.01 | Professional | TC · Technical part | $17,378.01 | $17,378.01 | $17,378.01 |
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 $1,548.82 Median $2,137.96 Typical High $5,754.40 | Professional | None (both parts) | $1,548.82 | $2,137.96 | $5,754.40 |
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 $2,691.53 Median $2,884.03 Typical High $3,630.78 | Professional | 26 · Professional part | $2,691.53 | $2,884.03 | $3,630.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,348.96 Median $1,445.44 Typical High $1,819.70 | Professional | 52 · Reduced service | $1,348.96 | $1,445.44 | $1,819.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $537.03 Median $588.84 Typical High $724.44 | Professional | 53 · Discontinued | $537.03 | $588.84 | $724.44 |
Where Kentucky sits
The same service costs 8.9 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· 48th of 51
$2,138
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.