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 $117.49 Median $169.82 Typical High $177.83 | Facility | None | $117.49 | $169.82 | $177.83 |
Aetna Setting Professional Modifier None Typical Low $117.49 Median $177.83 Typical High $208.93 | Professional | None | $117.49 | $177.83 | $208.93 |
Anthem BCBS Setting Facility Modifier None Typical Low $128.82 Median $208.93 Typical High $218.78 | Facility | None | $128.82 | $208.93 | $218.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $83.18 Median $112.20 Typical High $181.97 | Professional | None | $83.18 | $112.20 | $181.97 |
CareSource Setting Facility Modifier None Typical Low $208.93 Median $251.19 Typical High $295.12 | Facility | None | $208.93 | $251.19 | $295.12 |
CareSource Setting Professional Modifier None Typical Low $208.93 Median $263.03 Typical High $416.87 | Professional | None | $208.93 | $263.03 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $309.03 Typical High $446.68 | Facility | None | $162.18 | $309.03 | $446.68 |
Cigna Setting Professional Modifier None Typical Low $87.10 Median $1,000.00 Typical High $1,000.00 | Professional | None | $87.10 | $1,000.00 | $1,000.00 |
United Setting Professional Modifier None Typical Low $87.10 Median $112.20 Typical High $218.78 | Professional | None | $87.10 | $112.20 | $218.78 |
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 $58.88 Median $87.10 Typical High $104.71 | Professional | 52 · Reduced service | $58.88 | $87.10 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $35.48 Typical High $41.69 | Professional | 53 · Discontinued | $23.44 | $35.48 | $41.69 |
Where Kentucky sits
The same service costs 6.0 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
$129
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.