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 $263.03 Median $275.42 Typical High $323.59 | Facility | None | $263.03 | $275.42 | $323.59 |
Aetna Setting Professional Modifier None Typical Low $245.47 Median $263.03 Typical High $323.59 | Professional | None | $245.47 | $263.03 | $323.59 |
Anthem BCBS Setting Facility Modifier None Typical Low $204.17 Median $323.59 Typical High $338.84 | Facility | None | $204.17 | $323.59 | $338.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $323.59 | Professional | None | $128.82 | $128.82 | $323.59 |
CareSource Setting Facility Modifier None Typical Low $323.59 Median $389.05 Typical High $457.09 | Facility | None | $323.59 | $389.05 | $457.09 |
CareSource Setting Professional Modifier None Typical Low $346.74 Median $426.58 Typical High $537.03 | Professional | None | $346.74 | $426.58 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $588.84 Typical High $758.58 | Facility | None | $251.19 | $588.84 | $758.58 |
Cigna Setting Professional Modifier None Typical Low $151.36 Median $1,548.82 Typical High $1,548.82 | Professional | None | $151.36 | $1,548.82 | $1,548.82 |
United Setting Professional Modifier None Typical Low $141.25 Median $194.98 Typical High $524.81 | Professional | None | $141.25 | $194.98 | $524.81 |
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 $123.03 Median $131.83 Typical High $162.18 | Professional | 52 · Reduced service | $123.03 | $131.83 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $52.48 Typical High $64.57 | Professional | 53 · Discontinued | $48.98 | $52.48 | $64.57 |
Where Kentucky sits
The same service costs 4.2 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
$257
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.