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 $112.20 Median $114.82 Typical High $138.04 | Facility | None | $112.20 | $114.82 | $138.04 |
Aetna Setting Professional Modifier None Typical Low $102.33 Median $112.20 Typical High $138.04 | Professional | None | $102.33 | $112.20 | $138.04 |
Anthem BCBS Setting Facility Modifier None Typical Low $85.11 Median $138.04 Typical High $144.54 | Facility | None | $85.11 | $138.04 | $144.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $91.20 Median $109.65 Typical High $138.04 | Professional | None | $91.20 | $109.65 | $138.04 |
CareSource Setting Facility Modifier None Typical Low $123.03 Median $165.96 Typical High $190.55 | Facility | None | $123.03 | $165.96 | $190.55 |
CareSource Setting Professional Modifier None Typical Low $138.04 Median $169.82 Typical High $218.78 | Professional | None | $138.04 | $169.82 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $269.15 Typical High $323.59 | Facility | None | $107.15 | $269.15 | $323.59 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $660.69 Typical High $660.69 | Professional | None | $63.10 | $660.69 | $660.69 |
United Setting Professional Modifier None Typical Low $58.88 Median $81.28 Typical High $218.78 | Professional | None | $58.88 | $81.28 | $218.78 |
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 $51.29 Median $54.95 Typical High $69.18 | Professional | 52 · Reduced service | $51.29 | $54.95 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $22.39 Typical High $27.54 | Professional | 53 · Discontinued | $20.42 | $22.39 | $27.54 |
Where Kentucky sits
The same service costs 4.9 times more in Alaska than in Alabama. 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· 40th of 51
$110
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.