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 $1,548.82 Median $1,584.89 Typical High $1,905.46 | Facility | None | $1,548.82 | $1,584.89 | $1,905.46 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,412.54 Median $1,548.82 Typical High $1,905.46 | Professional | None (both parts) | $1,412.54 | $1,548.82 | $1,905.46 |
Anthem BCBS Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Facility | None | $501.19 | $501.19 | $501.19 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $501.19 Median $501.19 Typical High $1,905.46 | Professional | None (both parts) | $501.19 | $501.19 | $1,905.46 |
CareSource Setting Facility Modifier None Typical Low $1,905.46 Median $25,703.96 Typical High $60,255.96 | Facility | None | $1,905.46 | $25,703.96 | $60,255.96 |
CareSource Setting Professional Modifier None (both parts) Typical Low $2,089.30 Median $2,630.27 Typical High $35,481.34 | Professional | None (both parts) | $2,089.30 | $2,630.27 | $35,481.34 |
Cigna Setting Facility Modifier None Typical Low $1,479.11 Median $2,754.23 Typical High $4,466.84 | Facility | None | $1,479.11 | $2,754.23 | $4,466.84 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $436.52 Median $2,041.74 Typical High $2,951.21 | Facility | TC · Technical part | $436.52 | $2,041.74 | $2,951.21 |
Cigna Setting Professional Modifier None (both parts) Typical Low $9,120.11 Median $9,120.11 Typical High $9,120.11 | Professional | None (both parts) | $9,120.11 | $9,120.11 | $9,120.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $9,120.11 Median $9,120.11 Typical High $9,120.11 | Professional | TC · Technical part | $9,120.11 | $9,120.11 | $9,120.11 |
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 $831.76 Median $1,148.15 Typical High $3,019.95 | Professional | None (both parts) | $831.76 | $1,148.15 | $3,019.95 |
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 $707.95 Median $776.25 Typical High $954.99 | Professional | 52 · Reduced service | $707.95 | $776.25 | $954.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $281.84 Median $309.03 Typical High $380.19 | Professional | 53 · Discontinued | $281.84 | $309.03 | $380.19 |
Where Kentucky sits
The same service costs 12.0 times more in Texas than in New Mexico. 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· 48th of 51
$1,148
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.