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 $457.09 Median $489.78 Typical High $501.19 | Facility | None | $457.09 | $489.78 | $501.19 |
Aetna Setting Professional Modifier None Typical Low $446.68 Median $489.78 Typical High $602.56 | Professional | None | $446.68 | $489.78 | $602.56 |
Anthem BCBS Setting Facility Modifier None Typical Low $371.54 Median $602.56 Typical High $630.96 | Facility | None | $371.54 | $602.56 | $630.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $512.86 Median $741.31 Typical High $741.31 | Professional | None | $512.86 | $741.31 | $741.31 |
CareSource Setting Facility Modifier None Typical Low $602.56 Median $812.83 Typical High $851.14 | Facility | None | $602.56 | $812.83 | $851.14 |
CareSource Setting Professional Modifier None Typical Low $602.56 Median $776.25 Typical High $1,000.00 | Professional | None | $602.56 | $776.25 | $1,000.00 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $1,202.26 Typical High $1,412.54 | Facility | None | $467.74 | $1,202.26 | $1,412.54 |
Cigna Setting Professional Modifier None Typical Low $436.52 Median $2,884.03 Typical High $2,884.03 | Professional | None | $436.52 | $2,884.03 | $2,884.03 |
United Setting Professional Modifier None Typical Low $257.04 Median $363.08 Typical High $954.99 | Professional | None | $257.04 | $363.08 | $954.99 |
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 $223.87 Median $245.47 Typical High $302.00 | Professional | 52 · Reduced service | $223.87 | $245.47 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $97.72 Typical High $120.23 | Professional | 53 · Discontinued | $89.13 | $97.72 | $120.23 |
Where Kentucky sits
The same service costs 3.4 times more in Alaska 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· 15th of 51
$661
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.