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 $1,047.13 Median $1,071.52 Typical High $1,584.89 | Facility | None | $1,047.13 | $1,071.52 | $1,584.89 |
Aetna Setting Professional Modifier None Typical Low $954.99 Median $1,071.52 Typical High $1,584.89 | Professional | None | $954.99 | $1,071.52 | $1,584.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $794.33 Median $1,288.25 Typical High $1,348.96 | Facility | None | $794.33 | $1,288.25 | $1,348.96 |
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 $1,288.25 Median $1,548.82 Typical High $1,819.70 | Facility | None | $1,288.25 | $1,548.82 | $1,819.70 |
CareSource Setting Professional Modifier None Typical Low $1,380.38 Median $1,659.59 Typical High $2,137.96 | Professional | None | $1,380.38 | $1,659.59 | $2,137.96 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $1,862.09 Typical High $2,754.23 | Facility | None | $1,000.00 | $1,862.09 | $2,754.23 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $6,165.95 Typical High $6,165.95 | Professional | None | $645.65 | $6,165.95 | $6,165.95 |
United Setting Professional Modifier None Typical Low $537.03 Median $776.25 Typical High $1,412.54 | Professional | None | $537.03 | $776.25 | $1,412.54 |
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 $478.63 Median $537.03 Typical High $794.33 | Professional | 52 · Reduced service | $478.63 | $537.03 | $794.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $213.80 Typical High $316.23 | Professional | 53 · Discontinued | $194.98 | $213.80 | $316.23 |
Where Kentucky sits
The same service costs 4.9 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· 49th of 51
$794
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.