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 $489.78 Median $501.19 Typical High $602.56 | Facility | None | $489.78 | $501.19 | $602.56 |
Aetna Setting Professional Modifier None Typical Low $446.68 Median $489.78 Typical High $602.56 | Professional | None | $446.68 | $489.78 | $602.56 |
Anthem BCBS Setting Facility Modifier None Typical Low $371.54 Median $602.56 Typical High $630.96 | Facility | None | $371.54 | $602.56 | $630.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $602.56 | Professional | None | $239.88 | $239.88 | $602.56 |
CareSource Setting Facility Modifier None Typical Low $602.56 Median $724.44 Typical High $831.76 | Facility | None | $602.56 | $724.44 | $831.76 |
CareSource Setting Professional Modifier None Typical Low $645.65 Median $776.25 Typical High $1,000.00 | Professional | None | $645.65 | $776.25 | $1,000.00 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $870.96 Typical High $1,412.54 | Facility | None | $467.74 | $870.96 | $1,412.54 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $2,884.03 Typical High $2,884.03 | Professional | None | $275.42 | $2,884.03 | $2,884.03 |
United Setting Professional Modifier None Typical Low $257.04 Median $363.08 Typical High $954.99 | Professional | None | $257.04 | $363.08 | $954.99 |
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 $223.87 Median $245.47 Typical High $302.00 | Professional | 52 · Reduced service | $223.87 | $245.47 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $97.72 Typical High $120.23 | Professional | 53 · Discontinued | $89.13 | $97.72 | $120.23 |
Where Kentucky sits
The same service costs 3.7 times more in Alaska than in Delaware. 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· 41st of 51
$479
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.