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 $616.60 Median $630.96 Typical High $812.83 | Facility | None | $616.60 | $630.96 | $812.83 |
Aetna Setting Professional Modifier None Typical Low $575.44 Median $630.96 Typical High $758.58 | Professional | None | $575.44 | $630.96 | $758.58 |
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 $100.00 Median $549.54 Typical High $1,862.09 | Professional | None | $100.00 | $549.54 | $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 $812.83 Median $977.24 Typical High $1,258.93 | Professional | None | $812.83 | $977.24 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $2,884.03 Typical High $2,884.03 | Facility | None | $588.84 | $2,884.03 | $2,884.03 |
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 $47.86 Median $316.23 Typical High $831.76 | Professional | None | $47.86 | $316.23 | $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 $281.84 Median $316.23 Typical High $380.19 | Professional | 52 · Reduced service | $281.84 | $316.23 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $114.82 Median $128.82 Typical High $151.36 | Professional | 53 · Discontinued | $114.82 | $128.82 | $151.36 |
Where Kentucky sits
The same service costs 4.5 times more in Alaska than in West Virginia. 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· 30th 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.