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 $151.36 Median $194.98 Typical High $199.53 | Facility | None | $151.36 | $194.98 | $199.53 |
Aetna Setting Professional Modifier None Typical Low $165.96 Median $194.98 Typical High $239.88 | Professional | None | $165.96 | $194.98 | $239.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $147.91 Median $239.88 Typical High $251.19 | Facility | None | $147.91 | $239.88 | $251.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $138.04 Median $245.47 Typical High $245.47 | Professional | None | $138.04 | $245.47 | $245.47 |
CareSource Setting Facility Modifier None Typical Low $239.88 Median $288.40 Typical High $331.13 | Facility | None | $239.88 | $288.40 | $331.13 |
CareSource Setting Professional Modifier None Typical Low $257.04 Median $309.03 Typical High $389.05 | Professional | None | $257.04 | $309.03 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $346.74 Typical High $562.34 | Facility | None | $186.21 | $346.74 | $562.34 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $1,148.15 Typical High $1,148.15 | Professional | None | $169.82 | $1,148.15 | $1,148.15 |
United Setting Professional Modifier None Typical Low $97.72 Median $141.25 Typical High $380.19 | Professional | None | $97.72 | $141.25 | $380.19 |
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 $83.18 Median $95.50 Typical High $120.23 | Professional | 52 · Reduced service | $83.18 | $95.50 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $38.90 Typical High $47.86 | Professional | 53 · Discontinued | $33.11 | $38.90 | $47.86 |
Where Kentucky sits
The same service costs 3.8 times more in Alaska than in Oklahoma. 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· 16th of 51
$240
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.