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 $66.07 Median $275.42 Typical High $281.84 | Facility | None | $66.07 | $275.42 | $281.84 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $275.42 Typical High $338.84 | Professional | None | $234.42 | $275.42 | $338.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $208.93 Median $338.84 Typical High $354.81 | Facility | None | $208.93 | $338.84 | $354.81 |
Anthem BCBS Setting Professional Modifier None Typical Low $52.48 Median $70.79 Typical High $173.78 | Professional | None | $52.48 | $70.79 | $173.78 |
CareSource Setting Facility Modifier None Typical Low $338.84 Median $407.38 Typical High $467.74 | Facility | None | $338.84 | $407.38 | $467.74 |
CareSource Setting Professional Modifier None Typical Low $363.08 Median $436.52 Typical High $562.34 | Professional | None | $363.08 | $436.52 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $660.69 Typical High $794.33 | Facility | None | $263.03 | $660.69 | $794.33 |
Cigna Setting Professional Modifier None Typical Low $213.80 Median $1,621.81 Typical High $1,621.81 | Professional | None | $213.80 | $1,621.81 | $1,621.81 |
United Setting Professional Modifier None Typical Low $77.62 Median $141.25 Typical High $371.54 | Professional | None | $77.62 | $141.25 | $371.54 |
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 $117.49 Median $138.04 Typical High $169.82 | Professional | 52 · Reduced service | $117.49 | $138.04 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $54.95 Typical High $67.61 | Professional | 53 · Discontinued | $46.77 | $54.95 | $67.61 |
Where Kentucky sits
The same service costs 6.6 times more in Texas 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
$135
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.