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 $162.18 Median $162.18 Typical High $169.82 | Facility | None | $162.18 | $162.18 | $169.82 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $162.18 Typical High $199.53 | Professional | None | $151.36 | $162.18 | $199.53 |
Anthem BCBS Setting Facility Modifier None Typical Low $125.89 Median $199.53 Typical High $213.80 | Facility | None | $125.89 | $199.53 | $213.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $74.13 Median $97.72 Typical High $234.42 | Professional | None | $74.13 | $97.72 | $234.42 |
CareSource Setting Facility Modifier None Typical Low $199.53 Median $239.88 Typical High $281.84 | Facility | None | $199.53 | $239.88 | $281.84 |
CareSource Setting Professional Modifier None Typical Low $213.80 Median $263.03 Typical High $331.13 | Professional | None | $213.80 | $263.03 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $436.52 Typical High $478.63 | Facility | None | $158.49 | $436.52 | $478.63 |
Cigna Setting Professional Modifier None Typical Low $144.54 Median $977.24 Typical High $977.24 | Professional | None | $144.54 | $977.24 | $977.24 |
United Setting Professional Modifier None Typical Low $109.65 Median $165.96 Typical High $338.84 | Professional | None | $109.65 | $165.96 | $338.84 |
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 $75.86 Median $81.28 Typical High $100.00 | Professional | 52 · Reduced service | $75.86 | $81.28 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $32.36 Typical High $40.74 | Professional | 53 · Discontinued | $30.20 | $32.36 | $40.74 |
Where Kentucky sits
The same service costs 3.2 times more in Alaska than in Delaware. 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· 37th of 51
$166
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.