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 $11.22 Median $11.48 Typical High $26.30 | Facility | None | $11.22 | $11.48 | $26.30 |
Aetna Setting Professional Modifier None Typical Low $10.96 Median $11.48 Typical High $13.80 | Professional | None | $10.96 | $11.48 | $13.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $8.51 Median $13.80 Typical High $14.45 | Facility | None | $8.51 | $13.80 | $14.45 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.76 Median $11.75 Typical High $19.05 | Professional | None | $6.76 | $11.75 | $19.05 |
CareSource Setting Facility Modifier None Typical Low $13.80 Median $16.60 Typical High $19.05 | Facility | None | $13.80 | $16.60 | $19.05 |
CareSource Setting Professional Modifier None Typical Low $13.80 Median $17.38 Typical High $27.54 | Professional | None | $13.80 | $17.38 | $27.54 |
Cigna Setting Facility Modifier None Typical Low $10.72 Median $26.30 Typical High $28.84 | Facility | None | $10.72 | $26.30 | $28.84 |
Cigna Setting Professional Modifier None Typical Low $6.92 Median $91.20 Typical High $91.20 | Professional | None | $6.92 | $91.20 | $91.20 |
United Setting Professional Modifier None Typical Low $5.75 Median $11.48 Typical High $19.05 | Professional | None | $5.75 | $11.48 | $19.05 |
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 $5.62 Median $5.75 Typical High $6.92 | Professional | 52 · Reduced service | $5.62 | $5.75 | $6.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.24 Median $2.29 Typical High $2.75 | Professional | 53 · Discontinued | $2.24 | $2.29 | $2.75 |
Where Kentucky sits
The same service costs 3.4 times more in Kansas than in Maryland. 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· 36th of 51
$11.75
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.