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 $26.30 Median $26.30 Typical High $27.54 | Facility | None | $26.30 | $26.30 | $27.54 |
Aetna Setting Professional Modifier None Typical Low $26.30 Median $27.54 Typical High $42.66 | Professional | None | $26.30 | $27.54 | $42.66 |
Anthem BCBS Setting Facility Modifier None Typical Low $20.42 Median $32.36 Typical High $34.67 | Facility | None | $20.42 | $32.36 | $34.67 |
Anthem BCBS Setting Professional Modifier None Typical Low $16.22 Median $25.70 Typical High $44.67 | Professional | None | $16.22 | $25.70 | $44.67 |
CareSource Setting Facility Modifier None Typical Low $32.36 Median $38.90 Typical High $45.71 | Facility | None | $32.36 | $38.90 | $45.71 |
CareSource Setting Professional Modifier None Typical Low $32.36 Median $40.74 Typical High $64.57 | Professional | None | $32.36 | $40.74 | $64.57 |
Cigna Setting Facility Modifier None Typical Low $25.12 Median $50.12 Typical High $69.18 | Facility | None | $25.12 | $50.12 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $16.60 Median $213.80 Typical High $213.80 | Professional | None | $16.60 | $213.80 | $213.80 |
United Setting Professional Modifier None Typical Low $13.80 Median $27.54 Typical High $45.71 | Professional | None | $13.80 | $27.54 | $45.71 |
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 $13.18 Median $13.80 Typical High $16.22 | Professional | 52 · Reduced service | $13.18 | $13.80 | $16.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $5.50 Typical High $6.46 | Professional | 53 · Discontinued | $5.25 | $5.50 | $6.46 |
Where Kentucky sits
The same service costs 4.6 times more in Kansas 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· 37th of 51
$27.54
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.