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 $63.10 Median $75.86 Typical High $112.20 | Facility | None | $63.10 | $75.86 | $112.20 |
Aetna Setting Professional Modifier None Typical Low $63.10 Median $75.86 Typical High $89.13 | Professional | None | $63.10 | $75.86 | $89.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $213.80 Median $269.15 Typical High $302.00 | Professional | None | $213.80 | $269.15 | $302.00 |
CareSource Setting Facility Modifier None Typical Low $77.62 Median $1,318.26 Typical High $1,995.26 | Facility | None | $77.62 | $1,318.26 | $1,995.26 |
CareSource Setting Professional Modifier None Typical Low $87.10 Median $1,380.38 Typical High $2,398.83 | Professional | None | $87.10 | $1,380.38 | $2,398.83 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $112.20 | Facility | None | $112.20 | $112.20 | $112.20 |
Cigna Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | None | $389.05 | $389.05 | $389.05 |
Molina Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | None | $44.67 | $44.67 | $44.67 |
United Setting Professional Modifier None Typical Low $75.86 Median $100.00 Typical High $128.82 | Professional | None | $75.86 | $100.00 | $128.82 |
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 $31.62 Median $38.02 Typical High $44.67 | Professional | 52 · Reduced service | $31.62 | $38.02 | $44.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $15.14 Typical High $17.78 | Professional | 53 · Discontinued | $12.59 | $15.14 | $17.78 |
Where Kentucky sits
The same service costs 7.4 times more in North Carolina than in Rhode Island. 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· 5th of 51
$229
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.