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 $77.62 Median $79.43 Typical High $138.04 | Facility | None | $77.62 | $79.43 | $138.04 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $77.62 Typical High $138.04 | Professional | None | $70.79 | $77.62 | $138.04 |
Anthem BCBS Setting Facility Modifier None Typical Low $58.88 Median $95.50 Typical High $100.00 | Facility | None | $58.88 | $95.50 | $100.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $61.66 Median $102.33 Typical High $102.33 | Professional | None | $61.66 | $102.33 | $102.33 |
CareSource Setting Facility Modifier None Typical Low $95.50 Median $114.82 Typical High $131.83 | Facility | None | $95.50 | $114.82 | $131.83 |
CareSource Setting Professional Modifier None Typical Low $102.33 Median $123.03 Typical High $158.49 | Professional | None | $102.33 | $123.03 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $229.09 Typical High $229.09 | Facility | None | $74.13 | $229.09 | $229.09 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $457.09 Typical High $457.09 | Professional | None | $70.79 | $457.09 | $457.09 |
United Setting Professional Modifier None Typical Low $40.74 Median $57.54 Typical High $151.36 | Professional | None | $40.74 | $57.54 | $151.36 |
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 $35.48 Median $38.90 Typical High $69.18 | Professional | 52 · Reduced service | $35.48 | $38.90 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $15.49 Typical High $27.54 | Professional | 53 · Discontinued | $14.13 | $15.49 | $27.54 |
Where Kentucky sits
The same service costs 3.7 times more in Alaska than in New Mexico. 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· 26th of 51
$95.50
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.