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 $15.14 Median $15.49 Typical High $18.62 | Facility | None | $15.14 | $15.49 | $18.62 |
Aetna Setting Professional Modifier None Typical Low $13.80 Median $15.49 Typical High $18.62 | Professional | None | $13.80 | $15.49 | $18.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $11.48 Median $18.62 Typical High $19.50 | Facility | None | $11.48 | $18.62 | $19.50 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.41 Median $7.41 Typical High $15.85 | Professional | None | $7.41 | $7.41 | $15.85 |
CareSource Setting Facility Modifier None Typical Low $18.62 Median $22.39 Typical High $26.30 | Facility | None | $18.62 | $22.39 | $26.30 |
CareSource Setting Professional Modifier None Typical Low $18.62 Median $23.44 Typical High $37.15 | Professional | None | $18.62 | $23.44 | $37.15 |
Cigna Setting Facility Modifier None Typical Low $14.45 Median $26.92 Typical High $39.81 | Facility | None | $14.45 | $26.92 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $8.51 Median $30.20 Typical High $89.13 | Professional | None | $8.51 | $30.20 | $89.13 |
United Setting Professional Modifier None Typical Low $7.76 Median $11.22 Typical High $20.42 | Professional | None | $7.76 | $11.22 | $20.42 |
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 $7.59 Median $7.76 Typical High $9.33 | Professional | 52 · Reduced service | $7.59 | $7.76 | $9.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.02 Median $3.16 Typical High $3.72 | Professional | 53 · Discontinued | $3.02 | $3.16 | $3.72 |
Where Kentucky sits
The same service costs 3.7 times more in Alaska than in Nebraska. 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· 50th of 51
$11.22
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.