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 $2,344.23 Typical High $2,454.71 | Facility | None | $724.44 | $2,344.23 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $724.44 Median $2,344.23 Typical High $2,951.21 | Professional | None | $724.44 | $2,344.23 | $2,951.21 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,819.70 Median $2,951.21 Typical High $3,090.30 | Facility | None | $1,819.70 | $2,951.21 | $3,090.30 |
Anthem BCBS Setting Professional Modifier None Typical Low $100.00 Median $1,174.90 Typical High $1,862.09 | Professional | None | $100.00 | $1,174.90 | $1,862.09 |
CareSource Setting Facility Modifier None Typical Low $2,951.21 Median $3,467.37 Typical High $4,073.80 | Facility | None | $2,951.21 | $3,467.37 | $4,073.80 |
CareSource Setting Professional Modifier None Typical Low $2,951.21 Median $3,548.13 Typical High $4,786.30 | Professional | None | $2,951.21 | $3,548.13 | $4,786.30 |
Cigna Setting Facility Modifier None Typical Low $2,290.87 Median $4,265.80 Typical High $6,165.95 | Facility | None | $2,290.87 | $4,265.80 | $6,165.95 |
Cigna Setting Professional Modifier None Typical Low $1,479.11 Median $14,125.38 Typical High $14,125.38 | Professional | None | $1,479.11 | $14,125.38 | $14,125.38 |
United Setting Professional Modifier None Typical Low $1,230.27 Median $1,737.80 Typical High $3,235.94 | Professional | None | $1,230.27 | $1,737.80 | $3,235.94 |
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 $1,174.90 Typical High $1,445.44 | Professional | 52 · Reduced service | $363.08 | $1,174.90 | $1,445.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $467.74 Typical High $588.84 | Professional | 53 · Discontinued | $144.54 | $467.74 | $588.84 |
Where Kentucky sits
The same service costs 5.4 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· 50th of 51
$1,318
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.