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 $724.44 Median $758.58 Typical High $891.25 | Facility | None | $724.44 | $758.58 | $891.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $724.44 Median $758.58 Typical High $891.25 | Professional | None (both parts) | $724.44 | $758.58 | $891.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.23 Median $10.23 Typical High $10.23 | Facility | None | $10.23 | $10.23 | $10.23 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $8.71 Median $10.23 Typical High $11.22 | Professional | None (both parts) | $8.71 | $10.23 | $11.22 |
CareSource Setting Facility Modifier None Typical Low $891.25 Median $12,022.64 Typical High $20,417.38 | Facility | None | $891.25 | $12,022.64 | $20,417.38 |
CareSource Setting Professional Modifier None (both parts) Typical Low $954.99 Median $1,202.26 Typical High $16,595.87 | Professional | None (both parts) | $954.99 | $1,202.26 | $16,595.87 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $1,318.26 Typical High $1,905.46 | Facility | None | $691.83 | $1,318.26 | $1,905.46 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $208.93 Median $977.24 Typical High $1,380.38 | Facility | TC · Technical part | $208.93 | $977.24 | $1,380.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $4,365.16 Typical High $4,365.16 | Professional | None (both parts) | $1,288.25 | $4,365.16 | $4,365.16 |
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 $380.19 Median $537.03 Typical High $891.25 | Professional | None (both parts) | $380.19 | $537.03 | $891.25 |
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 $363.08 Median $380.19 Typical High $446.68 | Professional | 52 · Reduced service | $363.08 | $380.19 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $151.36 Typical High $177.83 | Professional | 53 · Discontinued | $144.54 | $151.36 | $177.83 |
Where Kentucky sits
The same service costs 31.6 times more in Alaska 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· 49th of 51
$407
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.