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 $69.18 Median $89.13 Typical High $91.20 | Facility | None | $69.18 | $89.13 | $91.20 |
Aetna Setting Professional Modifier None Typical Low $75.86 Median $89.13 Typical High $109.65 | Professional | None | $75.86 | $89.13 | $109.65 |
Anthem BCBS Setting Facility Modifier None Typical Low $67.61 Median $109.65 Typical High $114.82 | Facility | None | $67.61 | $109.65 | $114.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $53.70 Median $75.86 Typical High $125.89 | Professional | None | $53.70 | $75.86 | $125.89 |
CareSource Setting Facility Modifier None Typical Low $109.65 Median $131.83 Typical High $151.36 | Facility | None | $109.65 | $131.83 | $151.36 |
CareSource Setting Professional Modifier None Typical Low $117.49 Median $141.25 Typical High $181.97 | Professional | None | $117.49 | $141.25 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $85.11 Median $288.40 Typical High $288.40 | Facility | None | $85.11 | $288.40 | $288.40 |
Cigna Setting Professional Modifier None Typical Low $79.43 Median $524.81 Typical High $524.81 | Professional | None | $79.43 | $524.81 | $524.81 |
United Setting Professional Modifier None Typical Low $60.26 Median $89.13 Typical High $173.78 | Professional | None | $60.26 | $89.13 | $173.78 |
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 $38.02 Median $44.67 Typical High $54.95 | Professional | 52 · Reduced service | $38.02 | $44.67 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $17.78 Typical High $21.88 | Professional | 53 · Discontinued | $15.14 | $17.78 | $21.88 |
Where Kentucky sits
The same service costs 3.9 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· 48th of 51
$75.86
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.