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 $8.51 Median $45.71 Typical High $46.77 | Facility | None | $8.51 | $45.71 | $46.77 |
Aetna Setting Professional Modifier None Typical Low $8.51 Median $46.77 Typical High $56.23 | Professional | None | $8.51 | $46.77 | $56.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $34.67 Median $56.23 Typical High $58.88 | Facility | None | $34.67 | $56.23 | $58.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $33.88 Median $47.86 Typical High $77.62 | Professional | None | $33.88 | $47.86 | $77.62 |
CareSource Setting Facility Modifier None Typical Low $56.23 Median $67.61 Typical High $77.62 | Facility | None | $56.23 | $67.61 | $77.62 |
CareSource Setting Professional Modifier None Typical Low $56.23 Median $69.18 Typical High $112.20 | Professional | None | $56.23 | $69.18 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $43.65 Median $81.28 Typical High $117.49 | Facility | None | $43.65 | $81.28 | $117.49 |
Cigna Setting Professional Modifier None Typical Low $25.70 Median $371.54 Typical High $371.54 | Professional | None | $25.70 | $371.54 | $371.54 |
United Setting Professional Modifier None Typical Low $23.44 Median $46.77 Typical High $75.86 | Professional | None | $23.44 | $46.77 | $75.86 |
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 $4.27 Median $23.44 Typical High $28.18 | Professional | 52 · Reduced service | $4.27 | $23.44 | $28.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.70 Median $9.33 Typical High $11.22 | Professional | 53 · Discontinued | $1.70 | $9.33 | $11.22 |
Where Kentucky sits
The same service costs 4.3 times more in Kansas than in Oklahoma. 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· 35th of 51
$47.86
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.