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 $100.00 Median $102.33 Typical High $151.36 | Facility | None | $100.00 | $102.33 | $151.36 |
Aetna Setting Professional Modifier None Typical Low $91.20 Median $100.00 Typical High $151.36 | Professional | None | $91.20 | $100.00 | $151.36 |
Anthem BCBS Setting Facility Modifier None Typical Low $75.86 Median $123.03 Typical High $128.82 | Facility | None | $75.86 | $123.03 | $128.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $128.82 | Professional | None | $60.26 | $60.26 | $128.82 |
CareSource Setting Facility Modifier None Typical Low $123.03 Median $147.91 Typical High $169.82 | Facility | None | $123.03 | $147.91 | $169.82 |
CareSource Setting Professional Modifier None Typical Low $131.83 Median $158.49 Typical High $199.53 | Professional | None | $131.83 | $158.49 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $239.88 Typical High $288.40 | Facility | None | $95.50 | $239.88 | $288.40 |
Cigna Setting Professional Modifier None Typical Low $67.61 Median $588.84 Typical High $588.84 | Professional | None | $67.61 | $588.84 | $588.84 |
United Setting Professional Modifier None Typical Low $67.61 Median $91.20 Typical High $204.17 | Professional | None | $67.61 | $91.20 | $204.17 |
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 $48.98 Typical High $75.86 | Professional | 52 · Reduced service | $45.71 | $48.98 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $19.95 Typical High $30.20 | Professional | 53 · Discontinued | $18.20 | $19.95 | $30.20 |
Where Kentucky sits
The same service costs 4.4 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· 43rd of 51
$97.72
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.