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 $38.02 Median $39.81 Typical High $151.36 | Facility | None | $38.02 | $39.81 | $151.36 |
Aetna Setting Professional Modifier None Typical Low $35.48 Median $38.02 Typical High $151.36 | Professional | None | $35.48 | $38.02 | $151.36 |
Anthem BCBS Setting Facility Modifier None Typical Low $29.51 Median $46.77 Typical High $50.12 | Facility | None | $29.51 | $46.77 | $50.12 |
Anthem BCBS Setting Professional Modifier None Typical Low $64.57 Median $107.15 Typical High $107.15 | Professional | None | $64.57 | $107.15 | $107.15 |
CareSource Setting Facility Modifier None Typical Low $46.77 Median $63.10 Typical High $66.07 | Facility | None | $46.77 | $63.10 | $66.07 |
CareSource Setting Professional Modifier None Typical Low $46.77 Median $61.66 Typical High $77.62 | Professional | None | $46.77 | $61.66 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $37.15 Median $204.17 Typical High $275.42 | Facility | None | $37.15 | $204.17 | $275.42 |
Cigna Setting Professional Modifier None Typical Low $35.48 Median $229.09 Typical High $229.09 | Professional | None | $35.48 | $229.09 | $229.09 |
United Setting Professional Modifier None Typical Low $20.42 Median $28.18 Typical High $75.86 | Professional | None | $20.42 | $28.18 | $75.86 |
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 $17.78 Median $19.05 Typical High $75.86 | Professional | 52 · Reduced service | $17.78 | $19.05 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $7.59 Typical High $30.20 | Professional | 53 · Discontinued | $7.08 | $7.59 | $30.20 |
Where Kentucky sits
The same service costs 5.8 times more in Kansas 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· 7th of 51
$77.62
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.