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 $229.09 Typical High $239.88 | Facility | None | $117.49 | $229.09 | $239.88 |
Aetna Setting Professional Modifier None Typical Low $117.49 Median $239.88 Typical High $281.84 | Professional | None | $117.49 | $239.88 | $281.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $177.83 Median $281.84 Typical High $302.00 | Facility | None | $177.83 | $281.84 | $302.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $83.18 Median $91.20 Typical High $141.25 | Professional | None | $83.18 | $91.20 | $141.25 |
CareSource Setting Facility Modifier None Typical Low $281.84 Median $338.84 Typical High $398.11 | Facility | None | $281.84 | $338.84 | $398.11 |
CareSource Setting Professional Modifier None Typical Low $281.84 Median $354.81 Typical High $575.44 | Professional | None | $281.84 | $354.81 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $416.87 Typical High $602.56 | Facility | None | $218.78 | $416.87 | $602.56 |
Cigna Setting Professional Modifier None Typical Low $67.61 Median $1,380.38 Typical High $1,380.38 | Professional | None | $67.61 | $1,380.38 | $1,380.38 |
United Setting Professional Modifier None Typical Low $70.79 Median $114.82 Typical High $281.84 | Professional | None | $70.79 | $114.82 | $281.84 |
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 $120.23 Typical High $141.25 | Professional | 52 · Reduced service | $58.88 | $120.23 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $47.86 Typical High $57.54 | Professional | 53 · Discontinued | $23.44 | $47.86 | $57.54 |
Where Kentucky sits
The same service costs 11.2 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
$117
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.