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 $1,621.81 Median $1,949.84 Typical High $4,677.35 | Facility | None | $1,621.81 | $1,949.84 | $4,677.35 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,479.11 Median $1,778.28 Typical High $1,949.84 | Professional | None (both parts) | $1,479.11 | $1,778.28 | $1,949.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Facility | None | $1,548.82 | $1,548.82 | $1,548.82 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $1,318.26 Median $1,548.82 Typical High $1,862.09 | Professional | None (both parts) | $1,318.26 | $1,548.82 | $1,862.09 |
CareSource Setting Facility Modifier None Typical Low $1,949.84 Median $26,302.68 Typical High $43,651.58 | Facility | None | $1,949.84 | $26,302.68 | $43,651.58 |
CareSource Setting Professional Modifier None (both parts) Typical Low $2,137.96 Median $2,754.23 Typical High $36,307.81 | Professional | None (both parts) | $2,137.96 | $2,754.23 | $36,307.81 |
Cigna Setting Facility Modifier None Typical Low $1,513.56 Median $2,818.38 Typical High $4,570.88 | Facility | None | $1,513.56 | $2,818.38 | $4,570.88 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $457.09 Median $2,089.30 Typical High $3,019.95 | Facility | TC · Technical part | $457.09 | $2,089.30 | $3,019.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $9,332.54 Median $9,332.54 Typical High $9,332.54 | Professional | None (both parts) | $9,332.54 | $9,332.54 | $9,332.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $9,332.54 Median $9,332.54 Typical High $9,332.54 | Professional | TC · Technical part | $9,332.54 | $9,332.54 | $9,332.54 |
United Setting Professional Modifier None (both parts) Typical Low $851.14 Median $1,174.90 Typical High $3,090.30 | Professional | None (both parts) | $851.14 | $1,174.90 | $3,090.30 |
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 $724.44 Median $794.33 Typical High $977.24 | Professional | 52 · Reduced service | $724.44 | $794.33 | $977.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $295.12 Median $316.23 Typical High $389.05 | Professional | 53 · Discontinued | $295.12 | $316.23 | $389.05 |
Where Kentucky sits
The same service costs 16.6 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· 35th of 51
$1,549
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.