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 $100.00 Median $123.03 Typical High $125.89 | Facility | None | $100.00 | $123.03 | $125.89 |
Aetna Setting Professional Modifier None Typical Low $104.71 Median $123.03 Typical High $151.36 | Professional | None | $104.71 | $123.03 | $151.36 |
Anthem BCBS Setting Facility Modifier None Typical Low $93.33 Median $151.36 Typical High $158.49 | Facility | None | $93.33 | $151.36 | $158.49 |
Anthem BCBS Setting Professional Modifier None Typical Low $60.26 Median $85.11 Typical High $102.33 | Professional | None | $60.26 | $85.11 | $102.33 |
CareSource Setting Facility Modifier None Typical Low $151.36 Median $181.97 Typical High $208.93 | Facility | None | $151.36 | $181.97 | $208.93 |
CareSource Setting Professional Modifier None Typical Low $162.18 Median $194.98 Typical High $245.47 | Professional | None | $162.18 | $194.98 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $660.69 Typical High $891.25 | Facility | None | $117.49 | $660.69 | $891.25 |
Cigna Setting Professional Modifier None Typical Low $112.20 Median $724.44 Typical High $724.44 | Professional | None | $112.20 | $724.44 | $724.44 |
United Setting Professional Modifier None Typical Low $64.57 Median $91.20 Typical High $239.88 | Professional | None | $64.57 | $91.20 | $239.88 |
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 $52.48 Median $60.26 Typical High $75.86 | Professional | 52 · Reduced service | $52.48 | $60.26 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $24.55 Typical High $30.20 | Professional | 53 · Discontinued | $20.89 | $24.55 | $30.20 |
Where Kentucky sits
The same service costs 5.4 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· 46th of 51
$102
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.