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 $97.72 Median $100.00 Typical High $120.23 | Facility | None | $97.72 | $100.00 | $120.23 |
Aetna Setting Professional Modifier None Typical Low $89.13 Median $97.72 Typical High $120.23 | Professional | None | $89.13 | $97.72 | $120.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $74.13 Median $120.23 Typical High $125.89 | Facility | None | $74.13 | $120.23 | $125.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.46 Median $8.91 Typical High $16.60 | Professional | None | $6.46 | $8.91 | $16.60 |
CareSource Setting Facility Modifier None Typical Low $120.23 Median $144.54 Typical High $169.82 | Facility | None | $120.23 | $144.54 | $169.82 |
CareSource Setting Professional Modifier None Typical Low $128.82 Median $154.88 Typical High $199.53 | Professional | None | $128.82 | $154.88 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $93.33 Median $524.81 Typical High $812.83 | Facility | None | $93.33 | $524.81 | $812.83 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $575.44 Typical High $575.44 | Professional | None | $89.13 | $575.44 | $575.44 |
United Setting Professional Modifier None Typical Low $52.48 Median $72.44 Typical High $190.55 | Professional | None | $52.48 | $72.44 | $190.55 |
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 $44.67 Median $48.98 Typical High $60.26 | Professional | 52 · Reduced service | $44.67 | $48.98 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $19.50 Typical High $23.99 | Professional | 53 · Discontinued | $18.20 | $19.50 | $23.99 |
Where Kentucky sits
The same service costs 5.9 times more in Texas than in Alabama. 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· 50th of 51
$72.44
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.