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 $79.43 Median $134.90 Typical High $138.04 | Facility | None | $79.43 | $134.90 | $138.04 |
Aetna Setting Professional Modifier None Typical Low $114.82 Median $134.90 Typical High $165.96 | Professional | None | $114.82 | $134.90 | $165.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $102.33 Median $165.96 Typical High $173.78 | Facility | None | $102.33 | $165.96 | $173.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $66.07 Median $89.13 Typical High $165.96 | Professional | None | $66.07 | $89.13 | $165.96 |
CareSource Setting Facility Modifier None Typical Low $165.96 Median $199.53 Typical High $229.09 | Facility | None | $165.96 | $199.53 | $229.09 |
CareSource Setting Professional Modifier None Typical Low $177.83 Median $213.80 Typical High $275.42 | Professional | None | $177.83 | $213.80 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $295.12 Typical High $389.05 | Facility | None | $128.82 | $295.12 | $389.05 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $794.33 Typical High $794.33 | Professional | None | $120.23 | $794.33 | $794.33 |
United Setting Professional Modifier None Typical Low $72.44 Median $100.00 Typical High $263.03 | Professional | None | $72.44 | $100.00 | $263.03 |
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 $57.54 Median $67.61 Typical High $83.18 | Professional | 52 · Reduced service | $57.54 | $67.61 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $26.92 Typical High $33.11 | Professional | 53 · Discontinued | $22.91 | $26.92 | $33.11 |
Where Kentucky sits
The same service costs 3.7 times more in Alaska than in Florida. 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· 47th of 51
$112
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.