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 $151.36 Typical High $154.88 | Facility | None | $100.00 | $151.36 | $154.88 |
Aetna Setting Professional Modifier None Typical Low $114.82 Median $151.36 Typical High $186.21 | Professional | None | $114.82 | $151.36 | $186.21 |
Anthem BCBS Setting Facility Modifier None Typical Low $114.82 Median $186.21 Typical High $194.98 | Facility | None | $114.82 | $186.21 | $194.98 |
Anthem BCBS Setting Professional Modifier None Typical Low $74.13 Median $100.00 Typical High $186.21 | Professional | None | $74.13 | $100.00 | $186.21 |
CareSource Setting Facility Modifier None Typical Low $186.21 Median $251.19 Typical High $263.03 | Facility | None | $186.21 | $251.19 | $263.03 |
CareSource Setting Professional Modifier None Typical Low $186.21 Median $239.88 Typical High $309.03 | Professional | None | $186.21 | $239.88 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $512.86 Typical High $512.86 | Facility | None | $144.54 | $512.86 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $891.25 Typical High $891.25 | Professional | None | $138.04 | $891.25 | $891.25 |
United Setting Professional Modifier None Typical Low $79.43 Median $112.20 Typical High $295.12 | Professional | None | $79.43 | $112.20 | $295.12 |
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 $64.57 Median $75.86 Typical High $93.33 | Professional | 52 · Reduced service | $64.57 | $75.86 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $30.20 Typical High $37.15 | Professional | 53 · Discontinued | $25.70 | $30.20 | $37.15 |
Where Kentucky sits
The same service costs 3.7 times more in Alaska than in Kentucky. 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· 51st of 51
$112
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.