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 $47.86 Median $48.98 Typical High $104.71 | Facility | None | $47.86 | $48.98 | $104.71 |
Aetna Setting Professional Modifier None Typical Low $43.65 Median $47.86 Typical High $104.71 | Professional | None | $43.65 | $47.86 | $104.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $36.31 Median $58.88 Typical High $61.66 | Facility | None | $36.31 | $58.88 | $61.66 |
Anthem BCBS Setting Professional Modifier None Typical Low $36.31 Median $60.26 Typical High $60.26 | Professional | None | $36.31 | $60.26 | $60.26 |
CareSource Setting Facility Modifier None Typical Low $58.88 Median $70.79 Typical High $81.28 | Facility | None | $58.88 | $70.79 | $81.28 |
CareSource Setting Professional Modifier None Typical Low $63.10 Median $75.86 Typical High $95.50 | Professional | None | $63.10 | $75.86 | $95.50 |
Cigna Setting Facility Modifier None Typical Low $45.71 Median $138.04 Typical High $158.49 | Facility | None | $45.71 | $138.04 | $158.49 |
Cigna Setting Professional Modifier None Typical Low $43.65 Median $281.84 Typical High $281.84 | Professional | None | $43.65 | $281.84 | $281.84 |
United Setting Professional Modifier None Typical Low $25.12 Median $35.48 Typical High $93.33 | Professional | None | $25.12 | $35.48 | $93.33 |
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 $21.88 Median $23.44 Typical High $52.48 | Professional | 52 · Reduced service | $21.88 | $23.44 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $9.55 Typical High $20.89 | Professional | 53 · Discontinued | $8.71 | $9.55 | $20.89 |
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· 29th of 51
$58.88
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.