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 $169.82 Median $173.78 Typical High $208.93 | Facility | None | $169.82 | $173.78 | $208.93 |
Aetna Setting Professional Modifier None Typical Low $154.88 Median $169.82 Typical High $208.93 | Professional | None | $154.88 | $169.82 | $208.93 |
Anthem BCBS Setting Facility Modifier None Typical Low $128.82 Median $208.93 Typical High $218.78 | Facility | None | $128.82 | $208.93 | $218.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $208.93 | Professional | None | $83.18 | $83.18 | $208.93 |
CareSource Setting Facility Modifier None Typical Low $208.93 Median $251.19 Typical High $288.40 | Facility | None | $208.93 | $251.19 | $288.40 |
CareSource Setting Professional Modifier None Typical Low $223.87 Median $269.15 Typical High $338.84 | Professional | None | $223.87 | $269.15 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $302.00 Typical High $489.78 | Facility | None | $162.18 | $302.00 | $489.78 |
Cigna Setting Professional Modifier None Typical Low $97.72 Median $1,000.00 Typical High $1,000.00 | Professional | None | $97.72 | $1,000.00 | $1,000.00 |
United Setting Professional Modifier None Typical Low $89.13 Median $123.03 Typical High $331.13 | Professional | None | $89.13 | $123.03 | $331.13 |
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 $77.62 Median $83.18 Typical High $104.71 | Professional | 52 · Reduced service | $77.62 | $83.18 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $33.88 Typical High $41.69 | Professional | 53 · Discontinued | $30.90 | $33.88 | $41.69 |
Where Kentucky sits
The same service costs 5.2 times more in Texas than in Oklahoma. 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
$166
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.