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 $28.84 Median $39.81 Typical High $91.20 | Facility | None | $28.84 | $39.81 | $91.20 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $38.90 Typical High $46.77 | Professional | None | $28.84 | $38.90 | $46.77 |
Anthem BCBS Setting Facility Modifier None Typical Low $29.51 Median $47.86 Typical High $50.12 | Facility | None | $29.51 | $47.86 | $50.12 |
Anthem BCBS Setting Professional Modifier None Typical Low $23.44 Median $53.70 Typical High $87.10 | Professional | None | $23.44 | $53.70 | $87.10 |
CareSource Setting Facility Modifier None Typical Low $42.66 Median $47.86 Typical High $67.61 | Facility | None | $42.66 | $47.86 | $67.61 |
CareSource Setting Professional Modifier None Typical Low $51.29 Median $60.26 Typical High $79.43 | Professional | None | $51.29 | $60.26 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $37.15 Median $77.62 Typical High $102.33 | Facility | None | $37.15 | $77.62 | $102.33 |
Cigna Setting Professional Modifier None Typical Low $24.55 Median $275.42 Typical High $275.42 | Professional | None | $24.55 | $275.42 | $275.42 |
United Setting Professional Modifier None Typical Low $19.95 Median $32.36 Typical High $56.23 | Professional | None | $19.95 | $32.36 | $56.23 |
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 $14.45 Median $19.50 Typical High $23.44 | Professional | 52 · Reduced service | $14.45 | $19.50 | $23.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $7.76 Typical High $9.33 | Professional | 53 · Discontinued | $5.75 | $7.76 | $9.33 |
Where Kentucky sits
The same service costs 5.4 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· 15th of 51
$53.70
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.