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 $1,047.13 Typical High $1,096.48 | Facility | None | $501.19 | $1,047.13 | $1,096.48 |
Aetna Setting Professional Modifier None Typical Low $467.74 Median $1,047.13 Typical High $1,318.26 | Professional | None | $467.74 | $1,047.13 | $1,318.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $812.83 Median $1,318.26 Typical High $1,380.38 | Facility | None | $812.83 | $1,318.26 | $1,380.38 |
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 $1,318.26 Median $1,548.82 Typical High $1,819.70 | Facility | None | $1,318.26 | $1,548.82 | $1,819.70 |
CareSource Setting Professional Modifier None Typical Low $1,380.38 Median $1,698.24 Typical High $2,137.96 | Professional | None | $1,380.38 | $1,698.24 | $2,137.96 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $1,905.46 Typical High $2,754.23 | Facility | None | $1,023.29 | $1,905.46 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $6,309.57 Typical High $6,309.57 | Professional | None | $295.12 | $6,309.57 | $6,309.57 |
United Setting Professional Modifier None Typical Low $323.59 Median $416.87 Typical High $851.14 | Professional | None | $323.59 | $416.87 | $851.14 |
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 $234.42 Median $524.81 Typical High $645.65 | Professional | 52 · Reduced service | $234.42 | $524.81 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $208.93 Typical High $263.03 | Professional | 53 · Discontinued | $93.33 | $208.93 | $263.03 |
Where Kentucky sits
The same service costs 4.0 times more in Wisconsin than in Georgia. 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· 27th of 51
$741
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.