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 $204.17 Typical High $363.08 | Facility | None | $194.98 | $204.17 | $363.08 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $194.98 Typical High $363.08 | Professional | None | $181.97 | $194.98 | $363.08 |
Anthem BCBS Setting Facility Modifier None Typical Low $151.36 Median $239.88 Typical High $257.04 | Facility | None | $151.36 | $239.88 | $257.04 |
Anthem BCBS Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $281.84 | Professional | None | $69.18 | $69.18 | $281.84 |
CareSource Setting Facility Modifier None Typical Low $239.88 Median $288.40 Typical High $338.84 | Facility | None | $239.88 | $288.40 | $338.84 |
CareSource Setting Professional Modifier None Typical Low $257.04 Median $316.23 Typical High $398.11 | Professional | None | $257.04 | $316.23 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $524.81 Typical High $575.44 | Facility | None | $186.21 | $524.81 | $575.44 |
Cigna Setting Professional Modifier None Typical Low $147.91 Median $1,174.90 Typical High $1,174.90 | Professional | None | $147.91 | $1,174.90 | $1,174.90 |
United Setting Professional Modifier None Typical Low $131.83 Median $199.53 Typical High $407.38 | Professional | None | $131.83 | $199.53 | $407.38 |
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 $91.20 Median $97.72 Typical High $181.97 | Professional | 52 · Reduced service | $91.20 | $97.72 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $38.90 Typical High $72.44 | Professional | 53 · Discontinued | $36.31 | $38.90 | $72.44 |
Where Kentucky sits
The same service costs 4.3 times more in Texas than in Delaware. 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· 42nd of 51
$200
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.