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 $50.12 Median $70.79 Typical High $74.13 | Facility | None | $50.12 | $70.79 | $74.13 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $70.79 Typical High $89.13 | Professional | None | $61.66 | $70.79 | $89.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $54.95 Median $89.13 Typical High $93.33 | Facility | None | $54.95 | $89.13 | $93.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $35.48 Median $58.88 Typical High $74.13 | Professional | None | $35.48 | $58.88 | $74.13 |
CareSource Setting Facility Modifier None Typical Low $89.13 Median $104.71 Typical High $123.03 | Facility | None | $89.13 | $104.71 | $123.03 |
CareSource Setting Professional Modifier None Typical Low $93.33 Median $114.82 Typical High $144.54 | Professional | None | $93.33 | $114.82 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $165.96 Typical High $208.93 | Facility | None | $69.18 | $165.96 | $208.93 |
Cigna Setting Professional Modifier None Typical Low $66.07 Median $426.58 Typical High $426.58 | Professional | None | $66.07 | $426.58 | $426.58 |
United Setting Professional Modifier None Typical Low $38.02 Median $52.48 Typical High $141.25 | Professional | None | $38.02 | $52.48 | $141.25 |
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 $30.90 Median $35.48 Typical High $43.65 | Professional | 52 · Reduced service | $30.90 | $35.48 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $14.45 Typical High $17.78 | Professional | 53 · Discontinued | $12.30 | $14.45 | $17.78 |
Where Kentucky sits
The same service costs 3.8 times more in Alaska than in Florida. 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· 48th of 51
$58.88
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.