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 $151.36 Median $154.88 Typical High $1,047.13 | Facility | None | $151.36 | $154.88 | $1,047.13 |
Aetna Setting Professional Modifier None Typical Low $138.04 Median $151.36 Typical High $977.24 | Professional | None | $138.04 | $151.36 | $977.24 |
Anthem BCBS Setting Facility Modifier None Typical Low $114.82 Median $186.21 Typical High $194.98 | Facility | None | $114.82 | $186.21 | $194.98 |
Anthem BCBS Setting Professional Modifier None Typical Low $630.96 Median $1,202.26 Typical High $1,995.26 | Professional | None | $630.96 | $1,202.26 | $1,995.26 |
CareSource Setting Facility Modifier None Typical Low $186.21 Median $223.87 Typical High $257.04 | Facility | None | $186.21 | $223.87 | $257.04 |
CareSource Setting Professional Modifier None Typical Low $199.53 Median $239.88 Typical High $302.00 | Professional | None | $199.53 | $239.88 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $269.15 Typical High $436.52 | Facility | None | $144.54 | $269.15 | $436.52 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $891.25 Typical High $891.25 | Professional | None | $138.04 | $891.25 | $891.25 |
United Setting Professional Modifier None Typical Low $79.43 Median $112.20 Typical High $295.12 | Professional | None | $79.43 | $112.20 | $295.12 |
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 $69.18 Median $74.13 Typical High $489.78 | Professional | 52 · Reduced service | $69.18 | $74.13 | $489.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $30.20 Typical High $194.98 | Professional | 53 · Discontinued | $27.54 | $30.20 | $194.98 |
Where Kentucky sits
The same service costs 8.3 times more in California 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· 2nd of 51
$741
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.