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 $67.61 Median $69.18 Typical High $107.15 | Facility | None | $67.61 | $69.18 | $107.15 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $67.61 Typical High $107.15 | Professional | None | $61.66 | $67.61 | $107.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $51.29 Median $83.18 Typical High $87.10 | Facility | None | $51.29 | $83.18 | $87.10 |
Anthem BCBS Setting Professional Modifier None Typical Low $53.70 Median $89.13 Typical High $89.13 | Professional | None | $53.70 | $89.13 | $89.13 |
CareSource Setting Facility Modifier None Typical Low $83.18 Median $100.00 Typical High $117.49 | Facility | None | $83.18 | $100.00 | $117.49 |
CareSource Setting Professional Modifier None Typical Low $89.13 Median $107.15 Typical High $138.04 | Professional | None | $89.13 | $107.15 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $194.98 Typical High $338.84 | Facility | None | $64.57 | $194.98 | $338.84 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $398.11 Typical High $398.11 | Professional | None | $61.66 | $398.11 | $398.11 |
United Setting Professional Modifier None Typical Low $42.66 Median $50.12 Typical High $112.20 | Professional | None | $42.66 | $50.12 | $112.20 |
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 $30.90 Median $33.88 Typical High $53.70 | Professional | 52 · Reduced service | $30.90 | $33.88 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $13.49 Typical High $21.38 | Professional | 53 · Discontinued | $12.59 | $13.49 | $21.38 |
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· 24th of 51
$87.10
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.