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 $75.86 Median $77.62 Typical High $79.43 | Facility | None | $75.86 | $77.62 | $79.43 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $75.86 Typical High $95.50 | Professional | None | $70.79 | $75.86 | $95.50 |
Anthem BCBS Setting Facility Modifier None Typical Low $58.88 Median $95.50 Typical High $100.00 | Facility | None | $58.88 | $95.50 | $100.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $45.71 Median $95.50 Typical High $107.15 | Professional | None | $45.71 | $95.50 | $107.15 |
CareSource Setting Facility Modifier None Typical Low $95.50 Median $114.82 Typical High $131.83 | Facility | None | $95.50 | $114.82 | $131.83 |
CareSource Setting Professional Modifier None Typical Low $102.33 Median $123.03 Typical High $154.88 | Professional | None | $102.33 | $123.03 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $245.47 Typical High $245.47 | Facility | None | $74.13 | $245.47 | $245.47 |
Cigna Setting Professional Modifier None Typical Low $67.61 Median $457.09 Typical High $457.09 | Professional | None | $67.61 | $457.09 | $457.09 |
United Setting Professional Modifier None Typical Low $52.48 Median $75.86 Typical High $158.49 | Professional | None | $52.48 | $75.86 | $158.49 |
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 $35.48 Median $38.02 Typical High $47.86 | Professional | 52 · Reduced service | $35.48 | $38.02 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $15.49 Typical High $19.05 | Professional | 53 · Discontinued | $14.13 | $15.49 | $19.05 |
Where Kentucky sits
The same service costs 3.5 times more in Kansas 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· 29th of 51
$95.50
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.