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 $524.81 Median $537.03 Typical High $851.14 | Facility | None | $524.81 | $537.03 | $851.14 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $524.81 Typical High $851.14 | Professional | None | $478.63 | $524.81 | $851.14 |
Anthem BCBS Setting Facility Modifier None Typical Low $398.11 Median $645.65 Typical High $676.08 | Facility | None | $398.11 | $645.65 | $676.08 |
Anthem BCBS Setting Professional Modifier None Typical Low $245.47 Median $933.25 Typical High $933.25 | Professional | None | $245.47 | $933.25 | $933.25 |
CareSource Setting Facility Modifier None Typical Low $645.65 Median $870.96 Typical High $891.25 | Facility | None | $645.65 | $870.96 | $891.25 |
CareSource Setting Professional Modifier None Typical Low $645.65 Median $831.76 Typical High $1,047.13 | Professional | None | $645.65 | $831.76 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $933.25 Typical High $1,513.56 | Facility | None | $501.19 | $933.25 | $1,513.56 |
Cigna Setting Professional Modifier None Typical Low $457.09 Median $3,090.30 Typical High $3,090.30 | Professional | None | $457.09 | $3,090.30 | $3,090.30 |
United Setting Professional Modifier None Typical Low $173.78 Median $288.40 Typical High $1,023.29 | Professional | None | $173.78 | $288.40 | $1,023.29 |
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 $239.88 Median $257.04 Typical High $426.58 | Professional | 52 · Reduced service | $239.88 | $257.04 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $104.71 Typical High $169.82 | Professional | 53 · Discontinued | $95.50 | $104.71 | $169.82 |
Where Kentucky sits
The same service costs 5.0 times more in Alaska than in North Carolina. 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· 12th of 51
$692
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.