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 $4,265.80 Median $4,265.80 Typical High $5,248.07 | Facility | None | $4,265.80 | $4,265.80 | $5,248.07 |
Aetna Setting Professional Modifier None (both parts) Typical Low $3,890.45 Median $4,265.80 Typical High $5,248.07 | Professional | None (both parts) | $3,890.45 | $4,265.80 | $5,248.07 |
Anthem BCBS Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Facility | None | $66.07 | $66.07 | $66.07 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $66.07 Median $66.07 Typical High $5,248.07 | Professional | None (both parts) | $66.07 | $66.07 | $5,248.07 |
CareSource Setting Facility Modifier None Typical Low $5,248.07 Median $70,794.58 Typical High $117,489.76 | Facility | None | $5,248.07 | $70,794.58 | $117,489.76 |
CareSource Setting Professional Modifier None (both parts) Typical Low $5,754.40 Median $7,244.36 Typical High $97,723.72 | Professional | None (both parts) | $5,754.40 | $7,244.36 | $97,723.72 |
Cigna Setting Facility Modifier None Typical Low $4,073.80 Median $7,585.78 Typical High $12,302.69 | Facility | None | $4,073.80 | $7,585.78 | $12,302.69 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $1,202.26 Median $5,623.41 Typical High $8,128.31 | Facility | TC · Technical part | $1,202.26 | $5,623.41 | $8,128.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $25,118.86 Median $25,118.86 Typical High $25,118.86 | Professional | None (both parts) | $25,118.86 | $25,118.86 | $25,118.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25,118.86 Median $25,118.86 Typical High $25,118.86 | Professional | TC · Technical part | $25,118.86 | $25,118.86 | $25,118.86 |
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 $2,238.72 Median $3,162.28 Typical High $8,317.64 | Professional | None (both parts) | $2,238.72 | $3,162.28 | $8,317.64 |
3 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 26 · Professional part Typical Low $3,890.45 Median $4,265.80 Typical High $5,248.07 | Professional | 26 · Professional part | $3,890.45 | $4,265.80 | $5,248.07 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,949.84 Median $2,137.96 Typical High $2,630.27 | Professional | 52 · Reduced service | $1,949.84 | $2,137.96 | $2,630.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $776.25 Median $851.14 Typical High $1,047.13 | Professional | 53 · Discontinued | $776.25 | $851.14 | $1,047.13 |
Where Kentucky sits
The same service costs 416.9 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· 45th of 51
$3,162
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.