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 $154.88 Median $162.18 Typical High $218.78 | Facility | None | $154.88 | $162.18 | $218.78 |
Aetna Setting Professional Modifier None Typical Low $144.54 Median $154.88 Typical High $218.78 | Professional | None | $144.54 | $154.88 | $218.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $120.23 Median $194.98 Typical High $204.17 | Facility | None | $120.23 | $194.98 | $204.17 |
Anthem BCBS Setting Professional Modifier None Typical Low $79.43 Median $87.10 Typical High $194.98 | Professional | None | $79.43 | $87.10 | $194.98 |
CareSource Setting Facility Modifier None Typical Low $194.98 Median $263.03 Typical High $269.15 | Facility | None | $194.98 | $263.03 | $269.15 |
CareSource Setting Professional Modifier None Typical Low $194.98 Median $251.19 Typical High $316.23 | Professional | None | $194.98 | $251.19 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $851.14 Typical High $1,202.26 | Facility | None | $151.36 | $851.14 | $1,202.26 |
Cigna Setting Professional Modifier None Typical Low $91.20 Median $933.25 Typical High $933.25 | Professional | None | $91.20 | $933.25 | $933.25 |
United Setting Professional Modifier None Typical Low $89.13 Median $117.49 Typical High $295.12 | Professional | None | $89.13 | $117.49 | $295.12 |
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 $72.44 Median $77.62 Typical High $109.65 | Professional | 52 · Reduced service | $72.44 | $77.62 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $31.62 Typical High $43.65 | Professional | 53 · Discontinued | $28.84 | $31.62 | $43.65 |
Where Kentucky sits
The same service costs 3.7 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· 41st of 51
$155
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.