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 $281.84 Median $288.40 Typical High $512.86 | Facility | None | $281.84 | $288.40 | $512.86 |
Aetna Setting Professional Modifier None Typical Low $257.04 Median $281.84 Typical High $446.68 | Professional | None | $257.04 | $281.84 | $446.68 |
Anthem BCBS Setting Facility Modifier None Typical Low $213.80 Median $346.74 Typical High $363.08 | Facility | None | $213.80 | $346.74 | $363.08 |
Anthem BCBS Setting Professional Modifier None Typical Low $169.82 Median $645.65 Typical High $645.65 | Professional | None | $169.82 | $645.65 | $645.65 |
CareSource Setting Facility Modifier None Typical Low $346.74 Median $416.87 Typical High $478.63 | Facility | None | $346.74 | $416.87 | $478.63 |
CareSource Setting Professional Modifier None Typical Low $371.54 Median $446.68 Typical High $575.44 | Professional | None | $371.54 | $446.68 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $933.25 Typical High $933.25 | Facility | None | $269.15 | $933.25 | $933.25 |
Cigna Setting Professional Modifier None Typical Low $251.19 Median $1,659.59 Typical High $1,659.59 | Professional | None | $251.19 | $1,659.59 | $1,659.59 |
United Setting Professional Modifier None Typical Low $190.55 Median $281.84 Typical High $575.44 | Professional | None | $190.55 | $281.84 | $575.44 |
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 $128.82 Median $141.25 Typical High $257.04 | Professional | 52 · Reduced service | $128.82 | $141.25 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $56.23 Typical High $104.71 | Professional | 53 · Discontinued | $51.29 | $56.23 | $104.71 |
Where Kentucky sits
The same service costs 4.6 times more in Texas 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· 10th of 51
$437
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.