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 $83.18 Median $87.10 Typical High $120.23 | Facility | None | $83.18 | $87.10 | $120.23 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $87.10 Typical High $120.23 | Professional | None | $83.18 | $87.10 | $120.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $64.57 Median $102.33 Typical High $107.15 | Facility | None | $64.57 | $102.33 | $107.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $64.57 Median $87.10 Typical High $141.25 | Professional | None | $64.57 | $87.10 | $141.25 |
CareSource Setting Facility Modifier None Typical Low $102.33 Median $123.03 Typical High $144.54 | Facility | None | $102.33 | $123.03 | $144.54 |
CareSource Setting Professional Modifier None Typical Low $102.33 Median $128.82 Typical High $204.17 | Professional | None | $102.33 | $128.82 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $79.43 Median $151.36 Typical High $234.42 | Facility | None | $79.43 | $151.36 | $234.42 |
Cigna Setting Professional Modifier None Typical Low $52.48 Median $691.83 Typical High $691.83 | Professional | None | $52.48 | $691.83 | $691.83 |
United Setting Professional Modifier None Typical Low $43.65 Median $87.10 Typical High $141.25 | Professional | None | $43.65 | $87.10 | $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 $41.69 Median $43.65 Typical High $60.26 | Professional | 52 · Reduced service | $41.69 | $43.65 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $17.38 Typical High $23.99 | Professional | 53 · Discontinued | $16.60 | $17.38 | $23.99 |
Where Kentucky sits
The same service costs 5.1 times more in Kansas 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· 33rd of 51
$87.10
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.