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 $41.69 Median $43.65 Typical High $218.78 | Facility | None | $41.69 | $43.65 | $218.78 |
Aetna Setting Professional Modifier None Typical Low $38.90 Median $41.69 Typical High $218.78 | Professional | None | $38.90 | $41.69 | $218.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $32.36 Median $51.29 Typical High $53.70 | Facility | None | $32.36 | $51.29 | $53.70 |
Anthem BCBS Setting Professional Modifier None Typical Low $91.20 Median $154.88 Typical High $154.88 | Professional | None | $91.20 | $154.88 | $154.88 |
CareSource Setting Facility Modifier None Typical Low $51.29 Median $69.18 Typical High $72.44 | Facility | None | $51.29 | $69.18 | $72.44 |
CareSource Setting Professional Modifier None Typical Low $51.29 Median $67.61 Typical High $85.11 | Professional | None | $51.29 | $67.61 | $85.11 |
Cigna Setting Facility Modifier None Typical Low $39.81 Median $223.87 Typical High $416.87 | Facility | None | $39.81 | $223.87 | $416.87 |
Cigna Setting Professional Modifier None Typical Low $38.90 Median $245.47 Typical High $245.47 | Professional | None | $38.90 | $245.47 | $245.47 |
United Setting Professional Modifier None Typical Low $22.39 Median $30.90 Typical High $83.18 | Professional | None | $22.39 | $30.90 | $83.18 |
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 $19.50 Median $20.89 Typical High $109.65 | Professional | 52 · Reduced service | $19.50 | $20.89 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $8.32 Typical High $43.65 | Professional | 53 · Discontinued | $7.76 | $8.32 | $43.65 |
Where Kentucky sits
The same service costs 6.0 times more in California 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· 4th of 51
$97.72
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.