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 $75.86 Median $141.25 Typical High $147.91 | Facility | None | $75.86 | $141.25 | $147.91 |
Aetna Setting Professional Modifier None Typical Low $123.03 Median $141.25 Typical High $173.78 | Professional | None | $123.03 | $141.25 | $173.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $109.65 Median $173.78 Typical High $186.21 | Facility | None | $109.65 | $173.78 | $186.21 |
Anthem BCBS Setting Professional Modifier None Typical Low $60.26 Median $75.86 Typical High $154.88 | Professional | None | $60.26 | $75.86 | $154.88 |
CareSource Setting Facility Modifier None Typical Low $173.78 Median $234.42 Typical High $245.47 | Facility | None | $173.78 | $234.42 | $245.47 |
CareSource Setting Professional Modifier None Typical Low $173.78 Median $229.09 Typical High $288.40 | Professional | None | $173.78 | $229.09 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $263.03 Typical High $416.87 | Facility | None | $138.04 | $263.03 | $416.87 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $851.14 Typical High $851.14 | Professional | None | $125.89 | $851.14 | $851.14 |
United Setting Professional Modifier None Typical Low $75.86 Median $107.15 Typical High $281.84 | Professional | None | $75.86 | $107.15 | $281.84 |
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 $61.66 Median $70.79 Typical High $87.10 | Professional | 52 · Reduced service | $61.66 | $70.79 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $28.18 Typical High $35.48 | Professional | 53 · Discontinued | $24.55 | $28.18 | $35.48 |
Where Kentucky sits
The same service costs 3.8 times more in Alaska than in Connecticut. 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· 50th of 51
$107
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.