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 $141.25 Median $144.54 Typical High $223.87 | Facility | None | $141.25 | $144.54 | $223.87 |
Aetna Setting Professional Modifier None Typical Low $128.82 Median $141.25 Typical High $208.93 | Professional | None | $128.82 | $141.25 | $208.93 |
Anthem BCBS Setting Facility Modifier None Typical Low $107.15 Median $173.78 Typical High $181.97 | Facility | None | $107.15 | $173.78 | $181.97 |
Anthem BCBS Setting Professional Modifier None Typical Low $74.13 Median $173.78 Typical High $288.40 | Professional | None | $74.13 | $173.78 | $288.40 |
CareSource Setting Facility Modifier None Typical Low $173.78 Median $208.93 Typical High $239.88 | Facility | None | $173.78 | $208.93 | $239.88 |
CareSource Setting Professional Modifier None Typical Low $186.21 Median $223.87 Typical High $281.84 | Professional | None | $186.21 | $223.87 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $338.84 Typical High $407.38 | Facility | None | $134.90 | $338.84 | $407.38 |
Cigna Setting Professional Modifier None Typical Low $123.03 Median $831.76 Typical High $831.76 | Professional | None | $123.03 | $831.76 | $831.76 |
United Setting Professional Modifier None Typical Low $91.20 Median $123.03 Typical High $275.42 | Professional | None | $91.20 | $123.03 | $275.42 |
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 $64.57 Median $69.18 Typical High $112.20 | Professional | 52 · Reduced service | $64.57 | $69.18 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $28.18 Typical High $44.67 | Professional | 53 · Discontinued | $25.70 | $28.18 | $44.67 |
Where Kentucky sits
The same service costs 3.4 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· 29th of 51
$174
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.