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 $83.18 Median $85.11 Typical High $128.82 | Facility | None | $83.18 | $85.11 | $128.82 |
Aetna Setting Professional Modifier None Typical Low $75.86 Median $83.18 Typical High $128.82 | Professional | None | $75.86 | $83.18 | $128.82 |
Ambetter Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | None | $63.10 | $63.10 | $63.10 |
Anthem BCBS Setting Facility Modifier None Typical Low $63.10 Median $102.33 Typical High $107.15 | Facility | None | $63.10 | $102.33 | $107.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $40.74 Median $83.18 Typical High $97.72 | Professional | None | $40.74 | $83.18 | $97.72 |
CareSource Setting Facility Modifier None Typical Low $102.33 Median $138.04 Typical High $144.54 | Facility | None | $102.33 | $138.04 | $144.54 |
CareSource Setting Professional Modifier None Typical Low $102.33 Median $131.83 Typical High $169.82 | Professional | None | $102.33 | $131.83 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $79.43 Median $446.68 Typical High $1,584.89 | Facility | None | $79.43 | $446.68 | $1,584.89 |
Cigna Setting Professional Modifier None Typical Low $75.86 Median $489.78 Typical High $489.78 | Professional | None | $75.86 | $489.78 | $489.78 |
United Setting Professional Modifier None Typical Low $44.67 Median $61.66 Typical High $162.18 | Professional | None | $44.67 | $61.66 | $162.18 |
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 $38.02 Median $41.69 Typical High $64.57 | Professional | 52 · Reduced service | $38.02 | $41.69 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $16.60 Typical High $25.70 | Professional | 53 · Discontinued | $15.49 | $16.60 | $25.70 |
Where Kentucky sits
The same service costs 3.7 times more in Kansas than in Alabama. 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· 42nd of 51
$85.11
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.