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 $758.58 Median $794.33 Typical High $1,148.15 | Facility | None | $758.58 | $794.33 | $1,148.15 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $794.33 Typical High $1,148.15 | Professional | None | $707.95 | $794.33 | $1,148.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $588.84 Median $933.25 Typical High $977.24 | Facility | None | $588.84 | $933.25 | $977.24 |
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 $933.25 Median $1,122.02 Typical High $1,318.26 | Facility | None | $933.25 | $1,122.02 | $1,318.26 |
CareSource Setting Professional Modifier None Typical Low $1,000.00 Median $1,230.27 Typical High $1,548.82 | Professional | None | $1,000.00 | $1,230.27 | $1,548.82 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $1,380.38 Typical High $1,995.26 | Facility | None | $724.44 | $1,380.38 | $1,995.26 |
Cigna Setting Professional Modifier None Typical Low $467.74 Median $4,466.84 Typical High $4,466.84 | Professional | None | $467.74 | $4,466.84 | $4,466.84 |
United Setting Professional Modifier None Typical Low $389.05 Median $562.34 Typical High $1,023.29 | Professional | None | $389.05 | $562.34 | $1,023.29 |
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 $354.81 Median $389.05 Typical High $575.44 | Professional | 52 · Reduced service | $354.81 | $389.05 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $158.49 Typical High $229.09 | Professional | 53 · Discontinued | $141.25 | $158.49 | $229.09 |
Where Kentucky sits
The same service costs 3.7 times more in Alaska 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· 34th of 51
$759
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.