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 $141.25 Median $144.54 Typical High $147.91 | Facility | None | $141.25 | $144.54 | $147.91 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $144.54 Typical High $177.83 | Professional | None | $131.83 | $144.54 | $177.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $109.65 Median $177.83 Typical High $186.21 | Facility | None | $109.65 | $177.83 | $186.21 |
Anthem BCBS Setting Professional Modifier None Typical Low $87.10 Median $117.49 Typical High $208.93 | Professional | None | $87.10 | $117.49 | $208.93 |
CareSource Setting Facility Modifier None Typical Low $177.83 Median $213.80 Typical High $245.47 | Facility | None | $177.83 | $213.80 | $245.47 |
CareSource Setting Professional Modifier None Typical Low $190.55 Median $229.09 Typical High $295.12 | Professional | None | $190.55 | $229.09 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $478.63 Typical High $478.63 | Facility | None | $138.04 | $478.63 | $478.63 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $851.14 Typical High $851.14 | Professional | None | $128.82 | $851.14 | $851.14 |
United Setting Professional Modifier None Typical Low $97.72 Median $144.54 Typical High $281.84 | Professional | None | $97.72 | $144.54 | $281.84 |
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 $66.07 Median $72.44 Typical High $89.13 | Professional | 52 · Reduced service | $66.07 | $72.44 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $28.84 Typical High $35.48 | Professional | 53 · Discontinued | $26.30 | $28.84 | $35.48 |
Where Kentucky sits
The same service costs 3.4 times more in Alaska 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· 49th of 51
$132
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.