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 $52.48 Median $54.95 Typical High $123.03 | Facility | None | $52.48 | $54.95 | $123.03 |
Aetna Setting Professional Modifier None Typical Low $48.98 Median $52.48 Typical High $77.62 | Professional | None | $48.98 | $52.48 | $77.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $40.74 Median $66.07 Typical High $69.18 | Facility | None | $40.74 | $66.07 | $69.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $26.30 Median $43.65 Typical High $53.70 | Professional | None | $26.30 | $43.65 | $53.70 |
CareSource Setting Facility Modifier None Typical Low $66.07 Median $89.13 Typical High $91.20 | Facility | None | $66.07 | $89.13 | $91.20 |
CareSource Setting Professional Modifier None Typical Low $66.07 Median $85.11 Typical High $107.15 | Professional | None | $66.07 | $85.11 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $134.90 Typical High $154.88 | Facility | None | $51.29 | $134.90 | $154.88 |
Cigna Setting Professional Modifier None Typical Low $46.77 Median $316.23 Typical High $316.23 | Professional | None | $46.77 | $316.23 | $316.23 |
United Setting Professional Modifier None Typical Low $28.18 Median $38.90 Typical High $79.43 | Professional | None | $28.18 | $38.90 | $79.43 |
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 $24.55 Median $26.30 Typical High $38.90 | Professional | 52 · Reduced service | $24.55 | $26.30 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $10.47 Typical High $15.49 | Professional | 53 · Discontinued | $9.77 | $10.47 | $15.49 |
Where Kentucky sits
The same service costs 3.4 times more in Alaska than in Kentucky. 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· 51st of 51
$43.65
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.