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 $19.05 Median $48.98 Typical High $50.12 | Facility | None | $19.05 | $48.98 | $50.12 |
Aetna Setting Professional Modifier None Typical Low $19.05 Median $50.12 Typical High $60.26 | Professional | None | $19.05 | $50.12 | $60.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $37.15 Median $60.26 Typical High $63.10 | Facility | None | $37.15 | $60.26 | $63.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $13.80 Median $15.14 Typical High $23.99 | Professional | None | $13.80 | $15.14 | $23.99 |
CareSource Setting Facility Modifier None Typical Low $60.26 Median $72.44 Typical High $83.18 | Facility | None | $60.26 | $72.44 | $83.18 |
CareSource Setting Professional Modifier None Typical Low $60.26 Median $75.86 Typical High $120.23 | Professional | None | $60.26 | $75.86 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $46.77 Median $87.10 Typical High $125.89 | Facility | None | $46.77 | $87.10 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $11.48 Median $288.40 Typical High $288.40 | Professional | None | $11.48 | $288.40 | $288.40 |
United Setting Professional Modifier None Typical Low $14.13 Median $22.91 Typical High $60.26 | Professional | None | $14.13 | $22.91 | $60.26 |
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 $9.55 Median $25.12 Typical High $30.20 | Professional | 52 · Reduced service | $9.55 | $25.12 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.80 Median $10.00 Typical High $12.02 | Professional | 53 · Discontinued | $3.80 | $10.00 | $12.02 |
Where Kentucky sits
The same service costs 8.7 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
$19.95
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.