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 $100.00 Median $104.71 Typical High $138.04 | Facility | None | $100.00 | $104.71 | $138.04 |
Aetna Setting Professional Modifier None Typical Low $93.33 Median $100.00 Typical High $138.04 | Professional | None | $93.33 | $100.00 | $138.04 |
Anthem BCBS Setting Facility Modifier None Typical Low $77.62 Median $125.89 Typical High $131.83 | Facility | None | $77.62 | $125.89 | $131.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $125.89 | Professional | None | $43.65 | $43.65 | $125.89 |
CareSource Setting Facility Modifier None Typical Low $125.89 Median $151.36 Typical High $173.78 | Facility | None | $125.89 | $151.36 | $173.78 |
CareSource Setting Professional Modifier None Typical Low $134.90 Median $162.18 Typical High $204.17 | Professional | None | $134.90 | $162.18 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $549.54 Typical High $891.25 | Facility | None | $97.72 | $549.54 | $891.25 |
Cigna Setting Professional Modifier None Typical Low $57.54 Median $602.56 Typical High $602.56 | Professional | None | $57.54 | $602.56 | $602.56 |
United Setting Professional Modifier None Typical Low $53.70 Median $74.13 Typical High $199.53 | Professional | None | $53.70 | $74.13 | $199.53 |
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 $46.77 Median $50.12 Typical High $69.18 | Professional | 52 · Reduced service | $46.77 | $50.12 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $20.42 Typical High $27.54 | Professional | 53 · Discontinued | $18.62 | $20.42 | $27.54 |
Where Kentucky sits
The same service costs 4.5 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· 41st of 51
$100
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.