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 $21.88 Median $22.91 Typical High $51.29 | Facility | None | $21.88 | $22.91 | $51.29 |
Aetna Setting Professional Modifier None Typical Low $16.22 Median $22.91 Typical High $26.92 | Professional | None | $16.22 | $22.91 | $26.92 |
Anthem BCBS Setting Facility Modifier None Typical Low $16.98 Median $26.92 Typical High $28.18 | Facility | None | $16.98 | $26.92 | $28.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $22.91 | Professional | None | $10.96 | $10.96 | $22.91 |
CareSource Setting Facility Modifier None Typical Low $26.92 Median $32.36 Typical High $38.02 | Facility | None | $26.92 | $32.36 | $38.02 |
CareSource Setting Professional Modifier None Typical Low $26.92 Median $33.88 Typical High $53.70 | Professional | None | $26.92 | $33.88 | $53.70 |
Cigna Setting Facility Modifier None Typical Low $20.89 Median $39.81 Typical High $57.54 | Facility | None | $20.89 | $39.81 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $12.30 Median $43.65 Typical High $131.83 | Professional | None | $12.30 | $43.65 | $131.83 |
United Setting Professional Modifier None Typical Low $11.48 Median $16.22 Typical High $29.51 | Professional | None | $11.48 | $16.22 | $29.51 |
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 $10.96 Median $11.48 Typical High $13.49 | Professional | 52 · Reduced service | $10.96 | $11.48 | $13.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.37 Median $4.57 Typical High $5.37 | Professional | 53 · Discontinued | $4.37 | $4.57 | $5.37 |
Where Kentucky sits
The same service costs 4.0 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· 50th of 51
$16.22
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.