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 $208.93 Median $218.78 Typical High $389.05 | Facility | None | $208.93 | $218.78 | $389.05 |
Aetna Setting Professional Modifier None Typical Low $194.98 Median $208.93 Typical High $389.05 | Professional | None | $194.98 | $208.93 | $389.05 |
Anthem BCBS Setting Facility Modifier None Typical Low $162.18 Median $263.03 Typical High $275.42 | Facility | None | $162.18 | $263.03 | $275.42 |
Anthem BCBS Setting Professional Modifier None Typical Low $263.03 Median $363.08 Typical High $371.54 | Professional | None | $263.03 | $363.08 | $371.54 |
CareSource Setting Facility Modifier None Typical Low $263.03 Median $316.23 Typical High $363.08 | Facility | None | $263.03 | $316.23 | $363.08 |
CareSource Setting Professional Modifier None Typical Low $281.84 Median $338.84 Typical High $426.58 | Professional | None | $281.84 | $338.84 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $562.34 Typical High $616.60 | Facility | None | $204.17 | $562.34 | $616.60 |
Cigna Setting Professional Modifier None Typical Low $186.21 Median $1,258.93 Typical High $1,258.93 | Professional | None | $186.21 | $1,258.93 | $1,258.93 |
United Setting Professional Modifier None Typical Low $144.54 Median $213.80 Typical High $436.52 | Professional | None | $144.54 | $213.80 | $436.52 |
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 $97.72 Median $104.71 Typical High $194.98 | Professional | 52 · Reduced service | $97.72 | $104.71 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $42.66 Typical High $77.62 | Professional | 53 · Discontinued | $38.90 | $42.66 | $77.62 |
Where Kentucky sits
The same service costs 3.4 times more in Alaska 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· 9th of 51
$355
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.