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 $38.02 Median $38.90 Typical High $43.65 | Facility | None | $38.02 | $38.90 | $43.65 |
Aetna Setting Professional Modifier None Typical Low $34.67 Median $38.02 Typical High $46.77 | Professional | None | $34.67 | $38.02 | $46.77 |
Anthem BCBS Setting Facility Modifier None Typical Low $28.84 Median $46.77 Typical High $48.98 | Facility | None | $28.84 | $46.77 | $48.98 |
Anthem BCBS Setting Professional Modifier None Typical Low $46.77 Median $269.15 Typical High $269.15 | Professional | None | $46.77 | $269.15 | $269.15 |
CareSource Setting Facility Modifier None Typical Low $46.77 Median $56.23 Typical High $64.57 | Facility | None | $46.77 | $56.23 | $64.57 |
CareSource Setting Professional Modifier None Typical Low $50.12 Median $60.26 Typical High $77.62 | Professional | None | $50.12 | $60.26 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $36.31 Median $67.61 Typical High $109.65 | Facility | None | $36.31 | $67.61 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $223.87 Typical High $223.87 | Professional | None | $33.88 | $223.87 | $223.87 |
United Setting Professional Modifier None Typical Low $24.55 Median $34.67 Typical High $74.13 | Professional | None | $24.55 | $34.67 | $74.13 |
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 $17.38 Median $19.05 Typical High $23.44 | Professional | 52 · Reduced service | $17.38 | $19.05 | $23.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $7.59 Typical High $9.33 | Professional | 53 · Discontinued | $6.92 | $7.59 | $9.33 |
Where Kentucky sits
The same service costs 3.7 times more in Alaska than in New Mexico. 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· 10th of 51
$58.88
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.