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 $251.19 Typical High $257.04 | Facility | None | $66.07 | $251.19 | $257.04 |
Aetna Setting Professional Modifier None Typical Low $213.80 Median $251.19 Typical High $309.03 | Professional | None | $213.80 | $251.19 | $309.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $190.55 Median $309.03 Typical High $323.59 | Facility | None | $190.55 | $309.03 | $323.59 |
Anthem BCBS Setting Professional Modifier None Typical Low $52.48 Median $70.79 Typical High $218.78 | Professional | None | $52.48 | $70.79 | $218.78 |
CareSource Setting Facility Modifier None Typical Low $309.03 Median $371.54 Typical High $426.58 | Facility | None | $309.03 | $371.54 | $426.58 |
CareSource Setting Professional Modifier None Typical Low $331.13 Median $398.11 Typical High $512.86 | Professional | None | $331.13 | $398.11 | $512.86 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $602.56 Typical High $724.44 | Facility | None | $239.88 | $602.56 | $724.44 |
Cigna Setting Professional Modifier None Typical Low $223.87 Median $1,479.11 Typical High $1,479.11 | Professional | None | $223.87 | $1,479.11 | $1,479.11 |
United Setting Professional Modifier None Typical Low $97.72 Median $162.18 Typical High $489.78 | Professional | None | $97.72 | $162.18 | $489.78 |
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 $107.15 Median $125.89 Typical High $154.88 | Professional | 52 · Reduced service | $107.15 | $125.89 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $50.12 Typical High $61.66 | Professional | 53 · Discontinued | $42.66 | $50.12 | $61.66 |
Where Kentucky sits
The same service costs 5.9 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
$138
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.