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 $309.03 Median $724.44 Typical High $758.58 | Facility | None | $309.03 | $724.44 | $758.58 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $724.44 Typical High $891.25 | Professional | None | $338.84 | $724.44 | $891.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $562.34 Median $891.25 Typical High $954.99 | Facility | None | $562.34 | $891.25 | $954.99 |
Anthem BCBS Setting Professional Modifier None Typical Low $23.44 Median $33.11 Typical High $61.66 | Professional | None | $23.44 | $33.11 | $61.66 |
CareSource Setting Facility Modifier None Typical Low $891.25 Median $1,071.52 Typical High $1,258.93 | Facility | None | $891.25 | $1,071.52 | $1,258.93 |
CareSource Setting Professional Modifier None Typical Low $954.99 Median $1,174.90 Typical High $1,479.11 | Professional | None | $954.99 | $1,174.90 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $1,318.26 Typical High $2,137.96 | Facility | None | $707.95 | $1,318.26 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $4,365.16 Typical High $4,365.16 | Professional | None | $676.08 | $4,365.16 | $4,365.16 |
United Setting Professional Modifier None Typical Low $389.05 Median $537.03 Typical High $1,445.44 | Professional | None | $389.05 | $537.03 | $1,445.44 |
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 $316.23 Median $363.08 Typical High $446.68 | Professional | 52 · Reduced service | $316.23 | $363.08 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $144.54 Typical High $181.97 | Professional | 53 · Discontinued | $125.89 | $144.54 | $181.97 |
Where Kentucky sits
The same service costs 5.1 times more in Texas 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· 49th of 51
$537
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.