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 $61.66 Median $64.57 Typical High $67.61 | Facility | None | $61.66 | $64.57 | $67.61 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $64.57 Typical High $81.28 | Professional | None | $61.66 | $64.57 | $81.28 |
Anthem BCBS Setting Facility Modifier None Typical Low $50.12 Median $81.28 Typical High $85.11 | Facility | None | $50.12 | $81.28 | $85.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $50.12 Median $67.61 Typical High $112.20 | Professional | None | $50.12 | $67.61 | $112.20 |
CareSource Setting Facility Modifier None Typical Low $81.28 Median $95.50 Typical High $112.20 | Facility | None | $81.28 | $95.50 | $112.20 |
CareSource Setting Professional Modifier None Typical Low $81.28 Median $100.00 Typical High $162.18 | Professional | None | $81.28 | $100.00 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $63.10 Median $117.49 Typical High $169.82 | Facility | None | $63.10 | $117.49 | $169.82 |
Cigna Setting Professional Modifier None Typical Low $40.74 Median $537.03 Typical High $537.03 | Professional | None | $40.74 | $537.03 | $537.03 |
United Setting Professional Modifier None Typical Low $31.62 Median $67.61 Typical High $112.20 | Professional | None | $31.62 | $67.61 | $112.20 |
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 $30.90 Median $33.88 Typical High $39.81 | Professional | 52 · Reduced service | $30.90 | $33.88 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $13.49 Typical High $16.22 | Professional | 53 · Discontinued | $12.30 | $13.49 | $16.22 |
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· 32nd of 51
$67.61
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.