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 $31.62 Median $33.11 Typical High $104.71 | Facility | None | $31.62 | $33.11 | $104.71 |
Aetna Setting Professional Modifier None Typical Low $29.51 Median $31.62 Typical High $104.71 | Professional | None | $29.51 | $31.62 | $104.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $24.55 Median $38.90 Typical High $41.69 | Facility | None | $24.55 | $38.90 | $41.69 |
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 $38.90 Median $52.48 Typical High $54.95 | Facility | None | $38.90 | $52.48 | $54.95 |
CareSource Setting Professional Modifier None Typical Low $38.90 Median $51.29 Typical High $64.57 | Professional | None | $38.90 | $51.29 | $64.57 |
Cigna Setting Facility Modifier None Typical Low $30.90 Median $141.25 Typical High $141.25 | Facility | None | $30.90 | $141.25 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $29.51 Median $190.55 Typical High $190.55 | Professional | None | $29.51 | $190.55 | $190.55 |
United Setting Professional Modifier None Typical Low $16.98 Median $23.44 Typical High $63.10 | Professional | None | $16.98 | $23.44 | $63.10 |
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 $14.79 Median $15.85 Typical High $51.29 | Professional | 52 · Reduced service | $14.79 | $15.85 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $6.31 Typical High $20.89 | Professional | 53 · Discontinued | $5.89 | $6.31 | $20.89 |
Where Kentucky sits
The same service costs 6.6 times more in Kansas 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· 11th of 51
$51.29
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.