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 $41.69 Median $42.66 Typical High $58.88 | Facility | None | $41.69 | $42.66 | $58.88 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $41.69 Typical High $58.88 | Professional | None | $38.02 | $41.69 | $58.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $31.62 Median $51.29 Typical High $53.70 | Facility | None | $31.62 | $51.29 | $53.70 |
Anthem BCBS Setting Professional Modifier None Typical Low $24.55 Median $40.74 Typical High $51.29 | Professional | None | $24.55 | $40.74 | $51.29 |
CareSource Setting Facility Modifier None Typical Low $51.29 Median $61.66 Typical High $70.79 | Facility | None | $51.29 | $61.66 | $70.79 |
CareSource Setting Professional Modifier None Typical Low $54.95 Median $66.07 Typical High $85.11 | Professional | None | $54.95 | $66.07 | $85.11 |
Cigna Setting Facility Modifier None Typical Low $39.81 Median $100.00 Typical High $120.23 | Facility | None | $39.81 | $100.00 | $120.23 |
Cigna Setting Professional Modifier None Typical Low $38.02 Median $245.47 Typical High $245.47 | Professional | None | $38.02 | $245.47 | $245.47 |
United Setting Professional Modifier None Typical Low $21.88 Median $30.90 Typical High $81.28 | Professional | None | $21.88 | $30.90 | $81.28 |
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 $19.05 Median $20.89 Typical High $29.51 | Professional | 52 · Reduced service | $19.05 | $20.89 | $29.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $8.32 Typical High $11.75 | Professional | 53 · Discontinued | $7.59 | $8.32 | $11.75 |
Where Kentucky sits
The same service costs 3.4 times more in Alaska than in Nebraska. 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
$40.74
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.