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 $323.59 Median $338.84 Typical High $602.56 | Facility | None | $323.59 | $338.84 | $602.56 |
Aetna Setting Professional Modifier None Typical Low $302.00 Median $323.59 Typical High $602.56 | Professional | None | $302.00 | $323.59 | $602.56 |
Anthem BCBS Setting Facility Modifier None Typical Low $251.19 Median $398.11 Typical High $426.58 | Facility | None | $251.19 | $398.11 | $426.58 |
Anthem BCBS Setting Professional Modifier None Typical Low $162.18 Median $218.78 Typical High $467.74 | Professional | None | $162.18 | $218.78 | $467.74 |
CareSource Setting Facility Modifier None Typical Low $398.11 Median $478.63 Typical High $562.34 | Facility | None | $398.11 | $478.63 | $562.34 |
CareSource Setting Professional Modifier None Typical Low $426.58 Median $524.81 Typical High $660.69 | Professional | None | $426.58 | $524.81 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $870.96 Typical High $954.99 | Facility | None | $316.23 | $870.96 | $954.99 |
Cigna Setting Professional Modifier None Typical Low $288.40 Median $1,949.84 Typical High $1,949.84 | Professional | None | $288.40 | $1,949.84 | $1,949.84 |
United Setting Professional Modifier None Typical Low $218.78 Median $331.13 Typical High $645.65 | Professional | None | $218.78 | $331.13 | $645.65 |
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 $151.36 Median $162.18 Typical High $302.00 | Professional | 52 · Reduced service | $151.36 | $162.18 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $64.57 Typical High $120.23 | Professional | 53 · Discontinued | $60.26 | $64.57 | $120.23 |
Where Kentucky sits
The same service costs 3.8 times more in Texas 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· 42nd of 51
$331
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.