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 $91.20 Median $104.71 Typical High $109.65 | Facility | None | $91.20 | $104.71 | $109.65 |
Aetna Setting Professional Modifier None Typical Low $91.20 Median $109.65 Typical High $128.82 | Professional | None | $91.20 | $109.65 | $128.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $81.28 Median $128.82 Typical High $134.90 | Facility | None | $81.28 | $128.82 | $134.90 |
Anthem BCBS Setting Professional Modifier None Typical Low $51.29 Median $66.07 Typical High $109.65 | Professional | None | $51.29 | $66.07 | $109.65 |
CareSource Setting Facility Modifier None Typical Low $128.82 Median $154.88 Typical High $181.97 | Facility | None | $128.82 | $154.88 | $181.97 |
CareSource Setting Professional Modifier None Typical Low $128.82 Median $162.18 Typical High $257.04 | Professional | None | $128.82 | $162.18 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $190.55 Typical High $275.42 | Facility | None | $100.00 | $190.55 | $275.42 |
Cigna Setting Professional Modifier None Typical Low $52.48 Median $616.60 Typical High $616.60 | Professional | None | $52.48 | $616.60 | $616.60 |
United Setting Professional Modifier None Typical Low $42.66 Median $66.07 Typical High $141.25 | Professional | None | $42.66 | $66.07 | $141.25 |
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 $45.71 Median $53.70 Typical High $64.57 | Professional | 52 · Reduced service | $45.71 | $53.70 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $21.88 Typical High $25.70 | Professional | 53 · Discontinued | $18.20 | $21.88 | $25.70 |
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
$81.28
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.