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 $27.54 Median $40.74 Typical High $42.66 | Facility | None | $27.54 | $40.74 | $42.66 |
Aetna Setting Professional Modifier None Typical Low $27.54 Median $40.74 Typical High $50.12 | Professional | None | $27.54 | $40.74 | $50.12 |
Anthem BCBS Setting Facility Modifier None Typical Low $31.62 Median $50.12 Typical High $52.48 | Facility | None | $31.62 | $50.12 | $52.48 |
Anthem BCBS Setting Professional Modifier None Typical Low $25.12 Median $42.66 Typical High $69.18 | Professional | None | $25.12 | $42.66 | $69.18 |
CareSource Setting Facility Modifier None Typical Low $50.12 Median $60.26 Typical High $70.79 | Facility | None | $50.12 | $60.26 | $70.79 |
CareSource Setting Professional Modifier None Typical Low $50.12 Median $63.10 Typical High $100.00 | Professional | None | $50.12 | $63.10 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $38.90 Median $74.13 Typical High $120.23 | Facility | None | $38.90 | $74.13 | $120.23 |
Cigna Setting Professional Modifier None Typical Low $25.70 Median $331.13 Typical High $331.13 | Professional | None | $25.70 | $331.13 | $331.13 |
United Setting Professional Modifier None Typical Low $19.95 Median $42.66 Typical High $70.79 | Professional | None | $19.95 | $42.66 | $70.79 |
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 $13.80 Median $21.38 Typical High $25.12 | Professional | 52 · Reduced service | $13.80 | $21.38 | $25.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.50 Median $8.51 Typical High $10.00 | Professional | 53 · Discontinued | $5.50 | $8.51 | $10.00 |
Where Kentucky sits
The same service costs 3.8 times more in Kansas than in Texas. 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· 35th of 51
$42.66
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.