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 $602.56 Median $630.96 Typical High $758.58 | Facility | None | $602.56 | $630.96 | $758.58 |
Aetna Setting Professional Modifier None (both parts) Typical Low $602.56 Median $630.96 Typical High $758.58 | Professional | None (both parts) | $602.56 | $630.96 | $758.58 |
Anthem BCBS Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Facility | None | $338.84 | $338.84 | $338.84 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $288.40 Median $338.84 Typical High $426.58 | Professional | None (both parts) | $288.40 | $338.84 | $426.58 |
CareSource Setting Facility Modifier None Typical Low $758.58 Median $10,000.00 Typical High $23,442.29 | Facility | None | $758.58 | $10,000.00 | $23,442.29 |
CareSource Setting Professional Modifier None (both parts) Typical Low $794.33 Median $1,023.29 Typical High $13,803.84 | Professional | None (both parts) | $794.33 | $1,023.29 | $13,803.84 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $1,096.48 Typical High $1,584.89 | Facility | None | $588.84 | $1,096.48 | $1,584.89 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $173.78 Median $812.83 Typical High $1,148.15 | Facility | TC · Technical part | $173.78 | $812.83 | $1,148.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $3,630.78 Typical High $3,630.78 | Professional | None (both parts) | $1,071.52 | $3,630.78 | $3,630.78 |
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 $316.23 Median $446.68 Typical High $758.58 | Professional | None (both parts) | $316.23 | $446.68 | $758.58 |
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 $302.00 Median $316.23 Typical High $371.54 | Professional | 52 · Reduced service | $302.00 | $316.23 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $125.89 Typical High $151.36 | Professional | 53 · Discontinued | $120.23 | $125.89 | $151.36 |
Where Kentucky sits
The same service costs 26.9 times more in Alaska 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· 50th of 51
$339
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.