How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $67.61 Median $109.65 Typical High $851.14 | Facility | None | $67.61 | $109.65 | $851.14 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $93.33 Typical High $151.36 | Professional | None | $64.57 | $93.33 | $151.36 |
Anthem BCBS Setting Facility Modifier None Typical Low $575.44 Median $3,801.89 Typical High $11,220.18 | Facility | None | $575.44 | $3,801.89 | $11,220.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $67.61 Median $87.10 Typical High $120.23 | Professional | None | $67.61 | $87.10 | $120.23 |
CareSource Setting Facility Modifier None Typical Low $70.79 Median $81.28 Typical High $117.49 | Facility | None | $70.79 | $81.28 | $117.49 |
CareSource Setting Professional Modifier None Typical Low $74.13 Median $104.71 Typical High $123.03 | Professional | None | $74.13 | $104.71 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $77.62 Typical High $1,318.26 | Facility | None | $69.18 | $77.62 | $1,318.26 |
Cigna Setting Professional Modifier None Typical Low $75.86 Median $128.82 Typical High $812.83 | Professional | None | $75.86 | $128.82 | $812.83 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
United Setting Facility Modifier None Typical Low $323.59 Median $588.84 Typical High $1,621.81 | Facility | None | $323.59 | $588.84 | $1,621.81 |
United Setting Professional Modifier None Typical Low $77.62 Median $114.82 Typical High $190.55 | Professional | None | $77.62 | $114.82 | $190.55 |
4 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 Facility Modifier 52 · Reduced service Typical Low $33.88 Median $47.86 Typical High $75.86 | Facility | 52 · Reduced service | $33.88 | $47.86 | $75.86 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $13.49 Median $19.50 Typical High $30.20 | Facility | 53 · Discontinued | $13.49 | $19.50 | $30.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $32.36 Median $43.65 Typical High $54.95 | Professional | 52 · Reduced service | $32.36 | $43.65 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $17.38 Typical High $21.88 | Professional | 53 · Discontinued | $12.88 | $17.38 | $21.88 |
Where Kentucky sits
The same service costs 2.8 times more in Alaska than in Kentucky. 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· 51st of 51
$93.33
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.