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 $177.83 Median $177.83 Typical High $186.21 | Facility | None | $177.83 | $177.83 | $186.21 |
Aetna Setting Professional Modifier None Typical Low $165.96 Median $177.83 Typical High $218.78 | Professional | None | $165.96 | $177.83 | $218.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $138.04 Median $218.78 Typical High $234.42 | Facility | None | $138.04 | $218.78 | $234.42 |
Anthem BCBS Setting Professional Modifier None Typical Low $109.65 Median $218.78 Typical High $257.04 | Professional | None | $109.65 | $218.78 | $257.04 |
CareSource Setting Facility Modifier None Typical Low $218.78 Median $263.03 Typical High $309.03 | Facility | None | $218.78 | $263.03 | $309.03 |
CareSource Setting Professional Modifier None Typical Low $234.42 Median $288.40 Typical High $363.08 | Professional | None | $234.42 | $288.40 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $588.84 Typical High $588.84 | Facility | None | $169.82 | $588.84 | $588.84 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $1,071.52 Typical High $1,071.52 | Professional | None | $158.49 | $1,071.52 | $1,071.52 |
United Setting Professional Modifier None Typical Low $120.23 Median $181.97 Typical High $354.81 | Professional | None | $120.23 | $181.97 | $354.81 |
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 $83.18 Median $89.13 Typical High $109.65 | Professional | 52 · Reduced service | $83.18 | $89.13 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $35.48 Typical High $43.65 | Professional | 53 · Discontinued | $33.11 | $35.48 | $43.65 |
Where Kentucky sits
The same service costs 3.1 times more in Alaska than in New Jersey. 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· 29th of 51
$219
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.