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 $4,073.80 Median $4,168.69 Typical High $5,011.87 | Facility | None | $4,073.80 | $4,168.69 | $5,011.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $3,715.35 Median $4,073.80 Typical High $5,011.87 | Professional | None (both parts) | $3,715.35 | $4,073.80 | $5,011.87 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Facility | None | $1,995.26 | $1,995.26 | $1,995.26 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $1,698.24 Median $1,995.26 Typical High $5,011.87 | Professional | None (both parts) | $1,698.24 | $1,995.26 | $5,011.87 |
CareSource Setting Facility Modifier None Typical Low $4,365.16 Median $4,365.16 Typical High $66,069.34 | Facility | None | $4,365.16 | $4,365.16 | $66,069.34 |
CareSource Setting Professional Modifier None (both parts) Typical Low $4,365.16 Median $5,495.41 Typical High $91,201.08 | Professional | None (both parts) | $4,365.16 | $5,495.41 | $91,201.08 |
Cigna Setting Facility Modifier None Typical Low $3,890.45 Median $7,244.36 Typical High $11,748.98 | Facility | None | $3,890.45 | $7,244.36 | $11,748.98 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $1,148.15 Median $5,370.32 Typical High $7,762.47 | Facility | TC · Technical part | $1,148.15 | $5,370.32 | $7,762.47 |
Cigna Setting Professional Modifier None (both parts) Typical Low $23,988.33 Median $23,988.33 Typical High $23,988.33 | Professional | None (both parts) | $23,988.33 | $23,988.33 | $23,988.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23,988.33 Median $23,988.33 Typical High $23,988.33 | Professional | TC · Technical part | $23,988.33 | $23,988.33 | $23,988.33 |
United Setting Professional Modifier None (both parts) Typical Low $2,187.76 Median $3,019.95 Typical High $7,943.28 | Professional | None (both parts) | $2,187.76 | $3,019.95 | $7,943.28 |
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 $1,862.09 Median $2,041.74 Typical High $2,511.89 | Professional | 52 · Reduced service | $1,862.09 | $2,041.74 | $2,511.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $758.58 Median $812.83 Typical High $1,000.00 | Professional | 53 · Discontinued | $758.58 | $812.83 | $1,000.00 |
Where Kentucky sits
The same service costs 12.0 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· 44th of 51
$3,020
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.