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 $60.26 Median $63.10 Typical High $141.25 | Facility | None | $60.26 | $63.10 | $141.25 |
Aetna Setting Professional Modifier None Typical Low $60.26 Median $63.10 Typical High $112.20 | Professional | None | $60.26 | $63.10 | $112.20 |
Ambetter Setting Professional Modifier None Typical Low $45.71 Median $93.33 Typical High $93.33 | Professional | None | $45.71 | $93.33 | $93.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $46.77 Median $74.13 Typical High $79.43 | Facility | None | $46.77 | $74.13 | $79.43 |
Anthem BCBS Setting Professional Modifier None Typical Low $37.15 Median $61.66 Typical High $87.10 | Professional | None | $37.15 | $61.66 | $87.10 |
CareSource Setting Facility Modifier None Typical Low $74.13 Median $83.18 Typical High $104.71 | Facility | None | $74.13 | $83.18 | $104.71 |
CareSource Setting Professional Modifier None Typical Low $74.13 Median $89.13 Typical High $123.03 | Professional | None | $74.13 | $89.13 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $58.88 Median $125.89 Typical High $158.49 | Facility | None | $58.88 | $125.89 | $158.49 |
Cigna Setting Professional Modifier None Typical Low $38.02 Median $120.23 Typical High $363.08 | Professional | None | $38.02 | $120.23 | $363.08 |
United Setting Professional Modifier None Typical Low $31.62 Median $61.66 Typical High $102.33 | Professional | None | $31.62 | $61.66 | $102.33 |
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 $30.20 Median $31.62 Typical High $56.23 | Professional | 52 · Reduced service | $30.20 | $31.62 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $12.59 Typical High $22.39 | Professional | 53 · Discontinued | $12.02 | $12.59 | $22.39 |
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· 35th of 51
$61.66
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.