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 $102.33 Median $107.15 Typical High $162.18 | Facility | None | $102.33 | $107.15 | $162.18 |
Aetna Setting Professional Modifier None Typical Low $95.50 Median $102.33 Typical High $162.18 | Professional | None | $95.50 | $102.33 | $162.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $79.43 Median $128.82 Typical High $134.90 | Facility | None | $79.43 | $128.82 | $134.90 |
Anthem BCBS Setting Professional Modifier None Typical Low $117.49 Median $194.98 Typical High $194.98 | Professional | None | $117.49 | $194.98 | $194.98 |
CareSource Setting Facility Modifier None Typical Low $128.82 Median $151.36 Typical High $177.83 | Facility | None | $128.82 | $151.36 | $177.83 |
CareSource Setting Professional Modifier None Typical Low $134.90 Median $165.96 Typical High $208.93 | Professional | None | $134.90 | $165.96 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $295.12 Typical High $302.00 | Facility | None | $100.00 | $295.12 | $302.00 |
Cigna Setting Professional Modifier None Typical Low $91.20 Median $616.60 Typical High $616.60 | Professional | None | $91.20 | $616.60 | $616.60 |
United Setting Professional Modifier None Typical Low $63.10 Median $91.20 Typical High $204.17 | Professional | None | $63.10 | $91.20 | $204.17 |
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 $47.86 Median $51.29 Typical High $81.28 | Professional | 52 · Reduced service | $47.86 | $51.29 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $20.42 Typical High $32.36 | Professional | 53 · Discontinued | $19.05 | $20.42 | $32.36 |
Where Kentucky sits
The same service costs 4.6 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· 19th of 51
$148
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.