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 $194.98 Median $354.81 Typical High $371.54 | Facility | None | $194.98 | $354.81 | $371.54 |
Aetna Setting Professional Modifier None Typical Low $309.03 Median $354.81 Typical High $436.52 | Professional | None | $309.03 | $354.81 | $436.52 |
Anthem BCBS Setting Facility Modifier None Typical Low $275.42 Median $436.52 Typical High $467.74 | Facility | None | $275.42 | $436.52 | $467.74 |
Anthem BCBS Setting Professional Modifier None Typical Low $151.36 Median $204.17 Typical High $549.54 | Professional | None | $151.36 | $204.17 | $549.54 |
CareSource Setting Facility Modifier None Typical Low $436.52 Median $524.81 Typical High $616.60 | Facility | None | $436.52 | $524.81 | $616.60 |
CareSource Setting Professional Modifier None Typical Low $467.74 Median $575.44 Typical High $724.44 | Professional | None | $467.74 | $575.44 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $645.65 Typical High $1,047.13 | Facility | None | $338.84 | $645.65 | $1,047.13 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $2,137.96 Typical High $2,137.96 | Professional | None | $295.12 | $2,137.96 | $2,137.96 |
United Setting Professional Modifier None Typical Low $107.15 Median $186.21 Typical High $478.63 | Professional | None | $107.15 | $186.21 | $478.63 |
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 $154.88 Median $177.83 Typical High $218.78 | Professional | 52 · Reduced service | $154.88 | $177.83 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $70.79 Typical High $87.10 | Professional | 53 · Discontinued | $61.66 | $70.79 | $87.10 |
Where Kentucky sits
The same service costs 7.1 times more in Texas than in North Carolina. 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· 34th of 51
$331
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.