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 $104.71 Median $245.47 Typical High $257.04 | Facility | None | $104.71 | $245.47 | $257.04 |
Aetna Setting Professional Modifier None Typical Low $213.80 Median $245.47 Typical High $302.00 | Professional | None | $213.80 | $245.47 | $302.00 |
Anthem BCBS Setting Facility Modifier None Typical Low $190.55 Median $302.00 Typical High $323.59 | Facility | None | $190.55 | $302.00 | $323.59 |
Anthem BCBS Setting Professional Modifier None Typical Low $181.97 Median $302.00 Typical High $302.00 | Professional | None | $181.97 | $302.00 | $302.00 |
CareSource Setting Facility Modifier None Typical Low $302.00 Median $363.08 Typical High $426.58 | Facility | None | $302.00 | $363.08 | $426.58 |
CareSource Setting Professional Modifier None Typical Low $323.59 Median $398.11 Typical High $501.19 | Professional | None | $323.59 | $398.11 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $446.68 Typical High $724.44 | Facility | None | $239.88 | $446.68 | $724.44 |
Cigna Setting Professional Modifier None Typical Low $229.09 Median $1,479.11 Typical High $1,479.11 | Professional | None | $229.09 | $1,479.11 | $1,479.11 |
United Setting Professional Modifier None Typical Low $131.83 Median $181.97 Typical High $489.78 | Professional | None | $131.83 | $181.97 | $489.78 |
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 $107.15 Median $123.03 Typical High $151.36 | Professional | 52 · Reduced service | $107.15 | $123.03 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $48.98 Typical High $61.66 | Professional | 53 · Discontinued | $42.66 | $48.98 | $61.66 |
Where Kentucky sits
The same service costs 5.5 times more in Texas 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· 21st of 51
$302
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.