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 $3,467.37 Typical High $8,317.64 | Facility | None | $2,884.03 | $3,467.37 | $8,317.64 |
Aetna Setting Professional Modifier None (both parts) Typical Low $2,570.40 Median $3,311.31 Typical High $4,168.69 | Professional | None (both parts) | $2,570.40 | $3,311.31 | $4,168.69 |
Anthem BCBS Setting Facility Modifier None Typical Low $323.59 Median $323.59 Typical High $323.59 | Facility | None | $323.59 | $323.59 | $323.59 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $275.42 Median $323.59 Typical High $3,467.37 | Professional | None (both parts) | $275.42 | $323.59 | $3,467.37 |
CareSource Setting Facility Modifier None Typical Low $3,090.30 Median $4,786.30 Typical High $72,443.60 | Facility | None | $3,090.30 | $4,786.30 | $72,443.60 |
CareSource Setting Professional Modifier None (both parts) Typical Low $3,801.89 Median $4,786.30 Typical High $63,095.73 | Professional | None (both parts) | $3,801.89 | $4,786.30 | $63,095.73 |
Cigna Setting Facility Modifier None Typical Low $2,691.53 Median $5,011.87 Typical High $8,128.31 | Facility | None | $2,691.53 | $5,011.87 | $8,128.31 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $794.33 Median $3,715.35 Typical High $5,370.32 | Facility | TC · Technical part | $794.33 | $3,715.35 | $5,370.32 |
Cigna Setting Professional Modifier None (both parts) Typical Low $16,595.87 Median $16,595.87 Typical High $16,595.87 | Professional | None (both parts) | $16,595.87 | $16,595.87 | $16,595.87 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16,595.87 Median $16,595.87 Typical High $16,595.87 | Professional | TC · Technical part | $16,595.87 | $16,595.87 | $16,595.87 |
United Setting Professional Modifier None (both parts) Typical Low $1,479.11 Median $2,041.74 Typical High $5,495.41 | Professional | None (both parts) | $1,479.11 | $2,041.74 | $5,495.41 |
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 $1,288.25 Median $1,380.38 Typical High $1,737.80 | Professional | 52 · Reduced service | $1,288.25 | $1,380.38 | $1,737.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $512.86 Median $562.34 Typical High $691.83 | Professional | 53 · Discontinued | $512.86 | $562.34 | $691.83 |
Where Kentucky sits
The same service costs 35.5 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· 40th of 51
$2,042
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.