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 $549.54 Median $562.34 Typical High $676.08 | Facility | None | $549.54 | $562.34 | $676.08 |
Aetna Setting Professional Modifier None Typical Low $512.86 Median $549.54 Typical High $676.08 | Professional | None | $512.86 | $549.54 | $676.08 |
Anthem BCBS Setting Facility Modifier None Typical Low $416.87 Median $676.08 Typical High $707.95 | Facility | None | $416.87 | $676.08 | $707.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $389.05 Median $645.65 Typical High $724.44 | Professional | None | $389.05 | $645.65 | $724.44 |
CareSource Setting Facility Modifier None Typical Low $676.08 Median $812.83 Typical High $954.99 | Facility | None | $676.08 | $812.83 | $954.99 |
CareSource Setting Professional Modifier None Typical Low $724.44 Median $870.96 Typical High $1,122.02 | Professional | None | $724.44 | $870.96 | $1,122.02 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $977.24 Typical High $1,584.89 | Facility | None | $524.81 | $977.24 | $1,584.89 |
Cigna Setting Professional Modifier None Typical Low $489.78 Median $3,235.94 Typical High $3,235.94 | Professional | None | $489.78 | $3,235.94 | $3,235.94 |
United Setting Professional Modifier None Typical Low $331.13 Median $467.74 Typical High $1,071.52 | Professional | None | $331.13 | $467.74 | $1,071.52 |
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 $251.19 Median $275.42 Typical High $338.84 | Professional | 52 · Reduced service | $251.19 | $275.42 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $109.65 Typical High $134.90 | Professional | 53 · Discontinued | $102.33 | $109.65 | $134.90 |
Where Kentucky sits
The same service costs 3.6 times more in Texas than in Delaware. 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· 32nd of 51
$646
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.