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 $173.78 Median $245.47 Typical High $251.19 | Facility | None | $173.78 | $245.47 | $251.19 |
Aetna Setting Professional Modifier None Typical Low $208.93 Median $245.47 Typical High $302.00 | Professional | None | $208.93 | $245.47 | $302.00 |
Anthem BCBS Setting Facility Modifier None Typical Low $186.21 Median $302.00 Typical High $316.23 | Facility | None | $186.21 | $302.00 | $316.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $120.23 Median $269.15 Typical High $331.13 | Professional | None | $120.23 | $269.15 | $331.13 |
CareSource Setting Facility Modifier None Typical Low $302.00 Median $407.38 Typical High $426.58 | Facility | None | $302.00 | $407.38 | $426.58 |
CareSource Setting Professional Modifier None Typical Low $302.00 Median $389.05 Typical High $501.19 | Professional | None | $302.00 | $389.05 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $1,318.26 Typical High $1,584.89 | Facility | None | $234.42 | $1,318.26 | $1,584.89 |
Cigna Setting Professional Modifier None Typical Low $223.87 Median $1,445.44 Typical High $1,445.44 | Professional | None | $223.87 | $1,445.44 | $1,445.44 |
United Setting Professional Modifier None Typical Low $131.83 Median $181.97 Typical High $478.63 | Professional | None | $131.83 | $181.97 | $478.63 |
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 $104.71 Median $123.03 Typical High $151.36 | Professional | 52 · Reduced service | $104.71 | $123.03 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $48.98 Typical High $60.26 | Professional | 53 · Discontinued | $42.66 | $48.98 | $60.26 |
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· 32nd of 51
$269
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.