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 $83.18 | Facility | None | $38.02 | $38.90 | $83.18 |
Aetna Setting Professional Modifier None Typical Low $34.67 Median $38.02 Typical High $83.18 | Professional | None | $34.67 | $38.02 | $83.18 |
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 $58.88 Median $630.96 Typical High $630.96 | Professional | None | $58.88 | $630.96 | $630.96 |
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 $34.67 Median $223.87 Typical High $223.87 | Professional | None | $34.67 | $223.87 | $223.87 |
United Setting Professional Modifier None Typical Low $22.39 Median $31.62 Typical High $74.13 | Professional | None | $22.39 | $31.62 | $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 $41.69 | Professional | 52 · Reduced service | $17.38 | $19.05 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $7.59 Typical High $16.60 | Professional | 53 · Discontinued | $6.92 | $7.59 | $16.60 |
Where Kentucky sits
The same service costs 8.3 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· 2nd of 51
$224
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.