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 $51.29 Median $53.70 Typical High $69.18 | Facility | None | $51.29 | $53.70 | $69.18 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $51.29 Typical High $69.18 | Professional | None | $47.86 | $51.29 | $69.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $39.81 Median $64.57 Typical High $67.61 | Facility | None | $39.81 | $64.57 | $67.61 |
Anthem BCBS Setting Professional Modifier None Typical Low $21.38 Median $25.12 Typical High $53.70 | Professional | None | $21.38 | $25.12 | $53.70 |
CareSource Setting Facility Modifier None Typical Low $64.57 Median $87.10 Typical High $89.13 | Facility | None | $64.57 | $87.10 | $89.13 |
CareSource Setting Professional Modifier None Typical Low $64.57 Median $83.18 Typical High $104.71 | Professional | None | $64.57 | $83.18 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $138.04 Typical High $151.36 | Facility | None | $50.12 | $138.04 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $47.86 Median $309.03 Typical High $309.03 | Professional | None | $47.86 | $309.03 | $309.03 |
United Setting Professional Modifier None Typical Low $27.54 Median $38.02 Typical High $102.33 | Professional | None | $27.54 | $38.02 | $102.33 |
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 $23.99 Median $25.70 Typical High $33.88 | Professional | 52 · Reduced service | $23.99 | $25.70 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $10.47 Typical High $13.80 | Professional | 53 · Discontinued | $9.55 | $10.47 | $13.80 |
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· 43rd of 51
$51.29
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.