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 $602.56 Median $602.56 Typical High $741.31 | Facility | None | $602.56 | $602.56 | $741.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $562.34 Median $602.56 Typical High $741.31 | Professional | None (both parts) | $562.34 | $602.56 | $741.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $691.83 Median $691.83 Typical High $691.83 | Facility | None | $691.83 | $691.83 | $691.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $691.83 Median $691.83 Typical High $741.31 | Professional | None (both parts) | $691.83 | $691.83 | $741.31 |
CareSource Setting Facility Modifier None Typical Low $741.31 Median $10,000.00 Typical High $16,982.44 | Facility | None | $741.31 | $10,000.00 | $16,982.44 |
CareSource Setting Professional Modifier None (both parts) Typical Low $812.83 Median $1,047.13 Typical High $13,803.84 | Professional | None (both parts) | $812.83 | $1,047.13 | $13,803.84 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $1,071.52 Typical High $1,737.80 | Facility | None | $575.44 | $1,071.52 | $1,737.80 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $173.78 Median $812.83 Typical High $1,148.15 | Facility | TC · Technical part | $173.78 | $812.83 | $1,148.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $3,548.13 Median $3,548.13 Typical High $3,548.13 | Professional | None (both parts) | $3,548.13 | $3,548.13 | $3,548.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $3,548.13 Median $3,548.13 Typical High $3,548.13 | Professional | TC · Technical part | $3,548.13 | $3,548.13 | $3,548.13 |
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 $323.59 Median $446.68 Typical High $1,202.26 | Professional | None (both parts) | $323.59 | $446.68 | $1,202.26 |
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 $562.34 Median $602.56 Typical High $741.31 | Professional | 26 · Professional part | $562.34 | $602.56 | $741.31 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $275.42 Median $302.00 Typical High $371.54 | Professional | 52 · Reduced service | $275.42 | $302.00 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $120.23 Typical High $147.91 | Professional | 53 · Discontinued | $112.20 | $120.23 | $147.91 |
Where Kentucky sits
The same service costs 58.9 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· 29th of 51
$692
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.