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 $85.11 Median $269.15 Typical High $275.42 | Facility | None | $85.11 | $269.15 | $275.42 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $269.15 Typical High $331.13 | Professional | None | $229.09 | $269.15 | $331.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $204.17 Median $331.13 Typical High $346.74 | Facility | None | $204.17 | $331.13 | $346.74 |
Anthem BCBS Setting Professional Modifier None Typical Low $48.98 Median $66.07 Typical High $251.19 | Professional | None | $48.98 | $66.07 | $251.19 |
CareSource Setting Facility Modifier None Typical Low $331.13 Median $398.11 Typical High $467.74 | Facility | None | $331.13 | $398.11 | $467.74 |
CareSource Setting Professional Modifier None Typical Low $354.81 Median $426.58 Typical High $549.54 | Professional | None | $354.81 | $426.58 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $645.65 Typical High $776.25 | Facility | None | $257.04 | $645.65 | $776.25 |
Cigna Setting Professional Modifier None Typical Low $239.88 Median $1,584.89 Typical High $1,584.89 | Professional | None | $239.88 | $1,584.89 | $1,584.89 |
United Setting Professional Modifier None Typical Low $109.65 Median $186.21 Typical High $524.81 | Professional | None | $109.65 | $186.21 | $524.81 |
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 $114.82 Median $134.90 Typical High $165.96 | Professional | 52 · Reduced service | $114.82 | $134.90 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $53.70 Typical High $66.07 | Professional | 53 · Discontinued | $46.77 | $53.70 | $66.07 |
Where Kentucky sits
The same service costs 6.5 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
$158
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.