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 $169.82 Median $173.78 Typical High $190.55 | Facility | None | $169.82 | $173.78 | $190.55 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $169.82 Typical High $208.93 | Professional | None | $158.49 | $169.82 | $208.93 |
Anthem BCBS Setting Facility Modifier None Typical Low $128.82 Median $208.93 Typical High $218.78 | Facility | None | $128.82 | $208.93 | $218.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $102.33 Median $151.36 Typical High $245.47 | Professional | None | $102.33 | $151.36 | $245.47 |
CareSource Setting Facility Modifier None Typical Low $208.93 Median $251.19 Typical High $295.12 | Facility | None | $208.93 | $251.19 | $295.12 |
CareSource Setting Professional Modifier None Typical Low $223.87 Median $269.15 Typical High $346.74 | Professional | None | $223.87 | $269.15 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $457.09 Typical High $489.78 | Facility | None | $162.18 | $457.09 | $489.78 |
Cigna Setting Professional Modifier None Typical Low $151.36 Median $1,000.00 Typical High $1,000.00 | Professional | None | $151.36 | $1,000.00 | $1,000.00 |
United Setting Professional Modifier None Typical Low $114.82 Median $169.82 Typical High $331.13 | Professional | None | $114.82 | $169.82 | $331.13 |
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 $77.62 Median $85.11 Typical High $104.71 | Professional | 52 · Reduced service | $77.62 | $85.11 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $33.88 Typical High $41.69 | Professional | 53 · Discontinued | $31.62 | $33.88 | $41.69 |
Where Kentucky sits
The same service costs 3.0 times more in Alaska than in New Jersey. 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· 46th of 51
$170
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.