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 $2,137.96 Median $2,238.72 Typical High $2,630.27 | Facility | None | $2,137.96 | $2,238.72 | $2,630.27 |
Aetna Setting Professional Modifier None (both parts) Typical Low $2,137.96 Median $2,137.96 Typical High $2,630.27 | Professional | None (both parts) | $2,137.96 | $2,137.96 | $2,630.27 |
Anthem BCBS Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Facility | None | $208.93 | $208.93 | $208.93 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $177.83 Median $208.93 Typical High $2,570.40 | Professional | None (both parts) | $177.83 | $208.93 | $2,570.40 |
CareSource Setting Facility Modifier None Typical Low $2,630.27 Median $35,481.34 Typical High $60,255.96 | Facility | None | $2,630.27 | $35,481.34 | $60,255.96 |
CareSource Setting Professional Modifier None (both parts) Typical Low $2,884.03 Median $3,715.35 Typical High $48,977.88 | Professional | None (both parts) | $2,884.03 | $3,715.35 | $48,977.88 |
Cigna Setting Facility Modifier None Typical Low $2,041.74 Median $3,890.45 Typical High $6,309.57 | Facility | None | $2,041.74 | $3,890.45 | $6,309.57 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $616.60 Median $2,884.03 Typical High $4,073.80 | Facility | TC · Technical part | $616.60 | $2,884.03 | $4,073.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $12,882.50 Median $12,882.50 Typical High $12,882.50 | Professional | None (both parts) | $12,882.50 | $12,882.50 | $12,882.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $12,882.50 Median $12,882.50 Typical High $12,882.50 | Professional | TC · Technical part | $12,882.50 | $12,882.50 | $12,882.50 |
United Setting Professional Modifier None (both parts) Typical Low $1,148.15 Median $1,584.89 Typical High $4,265.80 | Professional | None (both parts) | $1,148.15 | $1,584.89 | $4,265.80 |
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 $1,000.00 Median $1,071.52 Typical High $1,318.26 | Professional | 52 · Reduced service | $1,000.00 | $1,071.52 | $1,318.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $398.11 Median $426.58 Typical High $524.81 | Professional | 53 · Discontinued | $398.11 | $426.58 | $524.81 |
Where Kentucky sits
The same service costs 31.6 times more in Texas than in Ohio. 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· 45th of 51
$1,585
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.