How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $50.12 Median $52.48 Typical High $81.28 | Facility | None | $50.12 | $52.48 | $81.28 |
Aetna Setting Professional Modifier None Typical Low $37.15 Median $52.48 Typical High $79.43 | Professional | None | $37.15 | $52.48 | $79.43 |
Ambetter Setting Professional Modifier None Typical Low $12.30 Median $28.18 Typical High $61.66 | Professional | None | $12.30 | $28.18 | $61.66 |
Anthem BCBS Setting Facility Modifier None Typical Low $38.90 Median $61.66 Typical High $64.57 | Facility | None | $38.90 | $61.66 | $64.57 |
Anthem BCBS Setting Professional Modifier None Typical Low $28.84 Median $33.88 Typical High $64.57 | Professional | None | $28.84 | $33.88 | $64.57 |
CareSource Setting Facility Modifier None Typical Low $61.66 Median $67.61 Typical High $87.10 | Facility | None | $61.66 | $67.61 | $87.10 |
CareSource Setting Professional Modifier None Typical Low $61.66 Median $67.61 Typical High $102.33 | Professional | None | $61.66 | $67.61 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $47.86 Median $95.50 Typical High $131.83 | Facility | None | $47.86 | $95.50 | $131.83 |
Cigna Setting Professional Modifier None Typical Low $29.51 Median $100.00 Typical High $302.00 | Professional | None | $29.51 | $100.00 | $302.00 |
United Setting Professional Modifier None Typical Low $26.30 Median $47.86 Typical High $79.43 | Professional | None | $26.30 | $47.86 | $79.43 |
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 $25.12 Median $26.30 Typical High $39.81 | Professional | 52 · Reduced service | $25.12 | $26.30 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $10.47 Typical High $15.85 | Professional | 53 · Discontinued | $10.00 | $10.47 | $15.85 |
Where Kentucky sits
The same service costs 4.5 times more in Alaska than in Kentucky. 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· 51st of 51
$35.48
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.