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 $165.96 Median $169.82 Typical High $173.78 | Facility | None | $165.96 | $169.82 | $173.78 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $165.96 Typical High $204.17 | Professional | None | $151.36 | $165.96 | $204.17 |
Anthem BCBS Setting Facility Modifier None Typical Low $125.89 Median $204.17 Typical High $213.80 | Facility | None | $125.89 | $204.17 | $213.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $190.55 Median $645.65 Typical High $645.65 | Professional | None | $190.55 | $645.65 | $645.65 |
CareSource Setting Facility Modifier None Typical Low $204.17 Median $245.47 Typical High $281.84 | Facility | None | $204.17 | $245.47 | $281.84 |
CareSource Setting Professional Modifier None Typical Low $218.78 Median $263.03 Typical High $338.84 | Professional | None | $218.78 | $263.03 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $398.11 Typical High $478.63 | Facility | None | $158.49 | $398.11 | $478.63 |
Cigna Setting Professional Modifier None Typical Low $147.91 Median $977.24 Typical High $977.24 | Professional | None | $147.91 | $977.24 | $977.24 |
United Setting Professional Modifier None Typical Low $100.00 Median $131.83 Typical High $295.12 | Professional | None | $100.00 | $131.83 | $295.12 |
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 $75.86 Median $83.18 Typical High $102.33 | Professional | 52 · Reduced service | $75.86 | $83.18 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $33.11 Typical High $40.74 | Professional | 53 · Discontinued | $30.20 | $33.11 | $40.74 |
Where Kentucky sits
The same service costs 3.8 times more in Texas than in Nebraska. 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· 6th of 51
$275
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.