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 $83.18 Median $154.88 Typical High $162.18 | Facility | None | $83.18 | $154.88 | $162.18 |
Aetna Setting Professional Modifier None Typical Low $134.90 Median $154.88 Typical High $190.55 | Professional | None | $134.90 | $154.88 | $190.55 |
Anthem BCBS Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $33.11 Median $70.79 Typical High $107.15 | Professional | None | $33.11 | $70.79 | $107.15 |
CareSource Setting Facility Modifier None Typical Low $173.78 Median $194.98 Typical High $269.15 | Facility | None | $173.78 | $194.98 | $269.15 |
CareSource Setting Professional Modifier None Typical Low $204.17 Median $239.88 Typical High $316.23 | Professional | None | $204.17 | $239.88 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $389.05 Typical High $457.09 | Facility | None | $147.91 | $389.05 | $457.09 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $933.25 Typical High $933.25 | Professional | None | $72.44 | $933.25 | $933.25 |
United Setting Professional Modifier None Typical Low $50.12 Median $83.18 Typical High $208.93 | Professional | None | $50.12 | $83.18 | $208.93 |
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 $67.61 Median $77.62 Typical High $95.50 | Professional | 52 · Reduced service | $67.61 | $77.62 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $30.90 Typical High $38.02 | Professional | 53 · Discontinued | $26.92 | $30.90 | $38.02 |
Where Kentucky sits
The same service costs 5.4 times more in Texas than in Ohio. 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· 45th of 51
$107
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.