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 $478.63 Median $489.78 Typical High $794.33 | Facility | None | $478.63 | $489.78 | $794.33 |
Aetna Setting Professional Modifier None Typical Low $436.52 Median $489.78 Typical High $794.33 | Professional | None | $436.52 | $489.78 | $794.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $363.08 Median $588.84 Typical High $616.60 | Facility | None | $363.08 | $588.84 | $616.60 |
Anthem BCBS Setting Professional Modifier None Typical Low $100.00 Median $602.56 Typical High $794.33 | Professional | None | $100.00 | $602.56 | $794.33 |
CareSource Setting Facility Modifier None Typical Low $588.84 Median $707.95 Typical High $812.83 | Facility | None | $588.84 | $707.95 | $812.83 |
CareSource Setting Professional Modifier None Typical Low $630.96 Median $758.58 Typical High $954.99 | Professional | None | $630.96 | $758.58 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $3,467.37 Typical High $3,467.37 | Facility | None | $457.09 | $3,467.37 | $3,467.37 |
Cigna Setting Professional Modifier None Typical Low $331.13 Median $2,818.38 Typical High $2,818.38 | Professional | None | $331.13 | $2,818.38 | $2,818.38 |
United Setting Professional Modifier None Typical Low $245.47 Median $478.63 Typical High $794.33 | Professional | None | $245.47 | $478.63 | $794.33 |
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 $218.78 Median $245.47 Typical High $398.11 | Professional | 52 · Reduced service | $218.78 | $245.47 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $97.72 Typical High $162.18 | Professional | 53 · Discontinued | $87.10 | $97.72 | $162.18 |
Where Kentucky sits
The same service costs 3.2 times more in Alaska than in Delaware. 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· 26th of 51
$589
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.