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 $239.88 Median $251.19 Typical High $295.12 | Facility | None | $239.88 | $251.19 | $295.12 |
Aetna Setting Professional Modifier None Typical Low $223.87 Median $239.88 Typical High $295.12 | Professional | None | $223.87 | $239.88 | $295.12 |
Anthem BCBS Setting Facility Modifier None Typical Low $186.21 Median $295.12 Typical High $309.03 | Facility | None | $186.21 | $295.12 | $309.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $295.12 | Professional | None | $117.49 | $117.49 | $295.12 |
CareSource Setting Facility Modifier None Typical Low $295.12 Median $354.81 Typical High $416.87 | Facility | None | $295.12 | $354.81 | $416.87 |
CareSource Setting Professional Modifier None Typical Low $316.23 Median $380.19 Typical High $489.78 | Professional | None | $316.23 | $380.19 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $912.01 Typical High $912.01 | Facility | None | $229.09 | $912.01 | $912.01 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $1,412.54 Typical High $1,412.54 | Professional | None | $138.04 | $1,412.54 | $1,412.54 |
United Setting Professional Modifier None Typical Low $128.82 Median $177.83 Typical High $478.63 | Professional | None | $128.82 | $177.83 | $478.63 |
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 $112.20 Median $120.23 Typical High $147.91 | Professional | 52 · Reduced service | $112.20 | $120.23 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $47.86 Typical High $58.88 | Professional | 53 · Discontinued | $44.67 | $47.86 | $58.88 |
Where Kentucky sits
The same service costs 3.8 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· 42nd of 51
$234
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.