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 $102.33 Median $302.00 Typical High $316.23 | Facility | None | $102.33 | $302.00 | $316.23 |
Aetna Setting Professional Modifier None Typical Low $263.03 Median $302.00 Typical High $371.54 | Professional | None | $263.03 | $302.00 | $371.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $234.42 Median $371.54 Typical High $398.11 | Facility | None | $234.42 | $371.54 | $398.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $79.43 Median $165.96 Typical High $446.68 | Professional | None | $79.43 | $165.96 | $446.68 |
CareSource Setting Facility Modifier None Typical Low $371.54 Median $446.68 Typical High $524.81 | Facility | None | $371.54 | $446.68 | $524.81 |
CareSource Setting Professional Modifier None Typical Low $398.11 Median $489.78 Typical High $616.60 | Professional | None | $398.11 | $489.78 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $549.54 Typical High $891.25 | Facility | None | $295.12 | $549.54 | $891.25 |
Cigna Setting Professional Modifier None Typical Low $186.21 Median $1,819.70 Typical High $1,819.70 | Professional | None | $186.21 | $1,819.70 | $1,819.70 |
United Setting Professional Modifier None Typical Low $56.23 Median $158.49 Typical High $602.56 | Professional | None | $56.23 | $158.49 | $602.56 |
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 $131.83 Median $151.36 Typical High $186.21 | Professional | 52 · Reduced service | $131.83 | $151.36 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $60.26 Typical High $75.86 | Professional | 53 · Discontinued | $52.48 | $60.26 | $75.86 |
Where Kentucky sits
The same service costs 10.2 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· 32nd of 51
$269
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.