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 $724.44 Median $1,096.48 Typical High $1,122.02 | Facility | None | $724.44 | $1,096.48 | $1,122.02 |
Aetna Setting Professional Modifier None Typical Low $724.44 Median $1,096.48 Typical High $1,348.96 | Professional | None | $724.44 | $1,096.48 | $1,348.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $831.76 Median $1,348.96 Typical High $1,412.54 | Facility | None | $831.76 | $1,348.96 | $1,412.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $100.00 Median $676.08 Typical High $1,862.09 | Professional | None | $100.00 | $676.08 | $1,862.09 |
CareSource Setting Facility Modifier None Typical Low $1,348.96 Median $1,621.81 Typical High $1,905.46 | Facility | None | $1,348.96 | $1,621.81 | $1,905.46 |
CareSource Setting Professional Modifier None Typical Low $1,445.44 Median $1,737.80 Typical High $2,238.72 | Professional | None | $1,445.44 | $1,737.80 | $2,238.72 |
Cigna Setting Facility Modifier None Typical Low $1,047.13 Median $1,949.84 Typical High $2,884.03 | Facility | None | $1,047.13 | $1,949.84 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $6,456.54 Typical High $6,456.54 | Professional | None | $676.08 | $6,456.54 | $6,456.54 |
United Setting Professional Modifier None Typical Low $562.34 Median $812.83 Typical High $1,479.11 | Professional | None | $562.34 | $812.83 | $1,479.11 |
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 $363.08 Median $549.54 Typical High $676.08 | Professional | 52 · Reduced service | $363.08 | $549.54 | $676.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $218.78 Typical High $269.15 | Professional | 53 · Discontinued | $144.54 | $218.78 | $269.15 |
Where Kentucky sits
The same service costs 5.1 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· 49th of 51
$794
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.