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 $245.47 Median $251.19 Typical High $363.08 | Facility | None | $245.47 | $251.19 | $363.08 |
Aetna Setting Professional Modifier None Typical Low $223.87 Median $245.47 Typical High $363.08 | Professional | None | $223.87 | $245.47 | $363.08 |
Anthem BCBS Setting Facility Modifier None Typical Low $186.21 Median $302.00 Typical High $316.23 | Facility | None | $186.21 | $302.00 | $316.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $302.00 | Professional | None | $69.18 | $69.18 | $302.00 |
CareSource Setting Facility Modifier None Typical Low $302.00 Median $363.08 Typical High $416.87 | Facility | None | $302.00 | $363.08 | $416.87 |
CareSource Setting Professional Modifier None Typical Low $323.59 Median $389.05 Typical High $489.78 | Professional | None | $323.59 | $389.05 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $512.86 Typical High $707.95 | Facility | None | $234.42 | $512.86 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $151.36 Median $1,445.44 Typical High $1,445.44 | Professional | None | $151.36 | $1,445.44 | $1,445.44 |
United Setting Professional Modifier None Typical Low $147.91 Median $199.53 Typical High $489.78 | Professional | None | $147.91 | $199.53 | $489.78 |
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 $181.97 | Professional | 52 · Reduced service | $112.20 | $120.23 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $48.98 Typical High $72.44 | Professional | 53 · Discontinued | $44.67 | $48.98 | $72.44 |
Where Kentucky sits
The same service costs 3.9 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· 40th of 51
$240
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.