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 $2,089.30 Median $2,089.30 Typical High $2,570.40 | Facility | None | $2,089.30 | $2,089.30 | $2,570.40 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,949.84 Median $2,089.30 Typical High $2,570.40 | Professional | None (both parts) | $1,949.84 | $2,089.30 | $2,570.40 |
Anthem BCBS Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Facility | None | $33.11 | $33.11 | $33.11 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $2,570.40 | Professional | None (both parts) | $33.11 | $33.11 | $2,570.40 |
CareSource Setting Facility Modifier None Typical Low $2,570.40 Median $34,673.69 Typical High $58,884.37 | Facility | None | $2,570.40 | $34,673.69 | $58,884.37 |
CareSource Setting Professional Modifier None (both parts) Typical Low $2,818.38 Median $3,630.78 Typical High $47,863.01 | Professional | None (both parts) | $2,818.38 | $3,630.78 | $47,863.01 |
Cigna Setting Facility Modifier None Typical Low $1,995.26 Median $3,801.89 Typical High $6,025.60 | Facility | None | $1,995.26 | $3,801.89 | $6,025.60 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $602.56 Median $2,818.38 Typical High $3,981.07 | Facility | TC · Technical part | $602.56 | $2,818.38 | $3,981.07 |
Cigna Setting Professional Modifier None (both parts) Typical Low $12,302.69 Median $12,302.69 Typical High $12,302.69 | Professional | None (both parts) | $12,302.69 | $12,302.69 | $12,302.69 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $12,302.69 Median $12,302.69 Typical High $12,302.69 | Professional | TC · Technical part | $12,302.69 | $12,302.69 | $12,302.69 |
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 $1,122.02 Median $1,548.82 Typical High $4,168.69 | Professional | None (both parts) | $1,122.02 | $1,548.82 | $4,168.69 |
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 $1,949.84 Median $2,089.30 Typical High $2,570.40 | Professional | 26 · Professional part | $1,949.84 | $2,089.30 | $2,570.40 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $954.99 Median $1,047.13 Typical High $1,288.25 | Professional | 52 · Reduced service | $954.99 | $1,047.13 | $1,288.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $389.05 Median $416.87 Typical High $512.86 | Professional | 53 · Discontinued | $389.05 | $416.87 | $512.86 |
Where Kentucky sits
The same service costs 204.2 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
$1,549
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.