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 $616.60 Median $630.96 Typical High $851.14 | Facility | None | $616.60 | $630.96 | $851.14 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $616.60 Typical High $851.14 | Professional | None | $562.34 | $616.60 | $851.14 |
Anthem BCBS Setting Facility Modifier None Typical Low $467.74 Median $758.58 Typical High $794.33 | Facility | None | $467.74 | $758.58 | $794.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $467.74 Median $630.96 Typical High $758.58 | Professional | None | $467.74 | $630.96 | $758.58 |
CareSource Setting Facility Modifier None Typical Low $758.58 Median $912.01 Typical High $1,071.52 | Facility | None | $758.58 | $912.01 | $1,071.52 |
CareSource Setting Professional Modifier None Typical Low $812.83 Median $977.24 Typical High $1,258.93 | Professional | None | $812.83 | $977.24 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $1,096.48 Typical High $1,778.28 | Facility | None | $588.84 | $1,096.48 | $1,778.28 |
Cigna Setting Professional Modifier None Typical Low $562.34 Median $3,630.78 Typical High $3,630.78 | Professional | None | $562.34 | $3,630.78 | $3,630.78 |
United Setting Professional Modifier None Typical Low $331.13 Median $457.09 Typical High $1,202.26 | Professional | None | $331.13 | $457.09 | $1,202.26 |
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 $281.84 Median $309.03 Typical High $426.58 | Professional | 52 · Reduced service | $281.84 | $309.03 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $123.03 Typical High $169.82 | Professional | 53 · Discontinued | $114.82 | $123.03 | $169.82 |
Where Kentucky sits
The same service costs 5.1 times more in Texas than in Oklahoma. 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· 32nd of 51
$631
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.