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 $66.07 Median $245.47 Typical High $251.19 | Facility | None | $66.07 | $245.47 | $251.19 |
Aetna Setting Professional Modifier None Typical Low $208.93 Median $245.47 Typical High $302.00 | Professional | None | $208.93 | $245.47 | $302.00 |
Anthem BCBS Setting Facility Modifier None Typical Low $186.21 Median $302.00 Typical High $316.23 | Facility | None | $186.21 | $302.00 | $316.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $74.13 Median $1,000.00 Typical High $1,000.00 | Professional | None | $74.13 | $1,000.00 | $1,000.00 |
CareSource Setting Facility Modifier None Typical Low $302.00 Median $363.08 Typical High $416.87 | Facility | None | $302.00 | $363.08 | $416.87 |
CareSource Setting Professional Modifier None Typical Low $323.59 Median $389.05 Typical High $489.78 | Professional | None | $323.59 | $389.05 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $501.19 Typical High $707.95 | Facility | None | $234.42 | $501.19 | $707.95 |
Cigna Setting Professional Modifier None Typical Low $151.36 Median $1,445.44 Typical High $1,445.44 | Professional | None | $151.36 | $1,445.44 | $1,445.44 |
United Setting Professional Modifier None Typical Low $52.48 Median $125.89 Typical High $478.63 | Professional | None | $52.48 | $125.89 | $478.63 |
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 $104.71 Median $120.23 Typical High $151.36 | Professional | 52 · Reduced service | $104.71 | $120.23 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $48.98 Typical High $60.26 | Professional | 53 · Discontinued | $41.69 | $48.98 | $60.26 |
Where Kentucky sits
The same service costs 6.9 times more in Texas than in North Carolina. 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· 12th of 51
$324
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.