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 $501.19 Median $616.60 Typical High $630.96 | Facility | None | $501.19 | $616.60 | $630.96 |
Aetna Setting Professional Modifier None Typical Low $501.19 Median $616.60 Typical High $758.58 | Professional | None | $501.19 | $616.60 | $758.58 |
Ambetter Setting Professional Modifier None Typical Low $467.74 Median $645.65 Typical High $645.65 | Professional | None | $467.74 | $645.65 | $645.65 |
Anthem BCBS Setting Facility Modifier None Typical Low $467.74 Median $758.58 Typical High $794.33 | Facility | None | $467.74 | $758.58 | $794.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $13.18 Median $501.19 Typical High $1,862.09 | Professional | None | $13.18 | $501.19 | $1,862.09 |
CareSource Setting Facility Modifier None Typical Low $758.58 Median $912.01 Typical High $1,071.52 | Facility | None | $758.58 | $912.01 | $1,071.52 |
CareSource Setting Professional Modifier None Typical Low $758.58 Median $912.01 Typical High $1,258.93 | Professional | None | $758.58 | $912.01 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $1,096.48 Typical High $1,621.81 | Facility | None | $588.84 | $1,096.48 | $1,621.81 |
Cigna Setting Professional Modifier None Typical Low $380.19 Median $3,630.78 Typical High $3,630.78 | Professional | None | $380.19 | $3,630.78 | $3,630.78 |
United Setting Professional Modifier None Typical Low $316.23 Median $478.63 Typical High $831.76 | Professional | None | $316.23 | $478.63 | $831.76 |
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 $251.19 Median $309.03 Typical High $380.19 | Professional | 52 · Reduced service | $251.19 | $309.03 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $123.03 Typical High $151.36 | Professional | 53 · Discontinued | $100.00 | $123.03 | $151.36 |
Where Kentucky sits
The same service costs 3.4 times more in Alaska than in Maine. 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
$617
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.