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 $45.71 Median $47.86 Typical High $87.10 | Facility | None | $45.71 | $47.86 | $87.10 |
Aetna Setting Professional Modifier None Typical Low $42.66 Median $45.71 Typical High $87.10 | Professional | None | $42.66 | $45.71 | $87.10 |
Anthem BCBS Setting Facility Modifier None Typical Low $35.48 Median $57.54 Typical High $60.26 | Facility | None | $35.48 | $57.54 | $60.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $41.69 Median $70.79 Typical High $70.79 | Professional | None | $41.69 | $70.79 | $70.79 |
CareSource Setting Facility Modifier None Typical Low $57.54 Median $77.62 Typical High $79.43 | Facility | None | $57.54 | $77.62 | $79.43 |
CareSource Setting Professional Modifier None Typical Low $57.54 Median $74.13 Typical High $93.33 | Professional | None | $57.54 | $74.13 | $93.33 |
Cigna Setting Facility Modifier None Typical Low $44.67 Median $251.19 Typical High $257.04 | Facility | None | $44.67 | $251.19 | $257.04 |
Cigna Setting Professional Modifier None Typical Low $42.66 Median $275.42 Typical High $275.42 | Professional | None | $42.66 | $275.42 | $275.42 |
United Setting Professional Modifier None Typical Low $24.55 Median $33.88 Typical High $91.20 | Professional | None | $24.55 | $33.88 | $91.20 |
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 $21.38 Median $22.91 Typical High $43.65 | Professional | 52 · Reduced service | $21.38 | $22.91 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $9.33 Typical High $17.78 | Professional | 53 · Discontinued | $8.51 | $9.33 | $17.78 |
Where Kentucky sits
The same service costs 3.4 times more in Alaska than in Nebraska. 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· 22nd of 51
$63.10
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.