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 $41.69 Median $199.53 Typical High $208.93 | Facility | None | $41.69 | $199.53 | $208.93 |
Aetna Setting Professional Modifier None Typical Low $173.78 Median $199.53 Typical High $245.47 | Professional | None | $173.78 | $199.53 | $245.47 |
Anthem BCBS Setting Facility Modifier None Typical Low $154.88 Median $245.47 Typical High $257.04 | Facility | None | $154.88 | $245.47 | $257.04 |
Anthem BCBS Setting Professional Modifier None Typical Low $33.88 Median $44.67 Typical High $245.47 | Professional | None | $33.88 | $44.67 | $245.47 |
CareSource Setting Facility Modifier None Typical Low $245.47 Median $295.12 Typical High $346.74 | Facility | None | $245.47 | $295.12 | $346.74 |
CareSource Setting Professional Modifier None Typical Low $263.03 Median $323.59 Typical High $407.38 | Professional | None | $263.03 | $323.59 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $436.52 Typical High $575.44 | Facility | None | $190.55 | $436.52 | $575.44 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $1,174.90 Typical High $1,174.90 | Professional | None | $177.83 | $1,174.90 | $1,174.90 |
United Setting Professional Modifier None Typical Low $107.15 Median $147.91 Typical High $398.11 | Professional | None | $107.15 | $147.91 | $398.11 |
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 $87.10 Median $100.00 Typical High $123.03 | Professional | 52 · Reduced service | $87.10 | $100.00 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $39.81 Typical High $48.98 | Professional | 53 · Discontinued | $34.67 | $39.81 | $48.98 |
Where Kentucky sits
The same service costs 3.7 times more in Alaska than in Connecticut. 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· 46th of 51
$174
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.