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 $131.83 Typical High $134.90 | Facility | None | $8.51 | $131.83 | $134.90 |
Aetna Setting Professional Modifier None Typical Low $8.51 Median $134.90 Typical High $162.18 | Professional | None | $8.51 | $134.90 | $162.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $100.00 Median $162.18 Typical High $169.82 | Facility | None | $100.00 | $162.18 | $169.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $58.88 Median $64.57 Typical High $100.00 | Professional | None | $58.88 | $64.57 | $100.00 |
CareSource Setting Facility Modifier None Typical Low $162.18 Median $194.98 Typical High $229.09 | Facility | None | $162.18 | $194.98 | $229.09 |
CareSource Setting Professional Modifier None Typical Low $162.18 Median $204.17 Typical High $323.59 | Professional | None | $162.18 | $204.17 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $234.42 Typical High $346.74 | Facility | None | $125.89 | $234.42 | $346.74 |
Cigna Setting Professional Modifier None Typical Low $47.86 Median $776.25 Typical High $776.25 | Professional | None | $47.86 | $776.25 | $776.25 |
United Setting Professional Modifier None Typical Low $53.70 Median $64.57 Typical High $162.18 | Professional | None | $53.70 | $64.57 | $162.18 |
1 more rate 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 $67.61 Typical High $81.28 | Professional | 52 · Reduced service | $4.27 | $67.61 | $81.28 |
Where Kentucky sits
The same service costs 7.6 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
$74.13
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.