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 $741.31 Typical High $776.25 | Facility | None | $724.44 | $741.31 | $776.25 |
Aetna Setting Professional Modifier None Typical Low $691.83 Median $741.31 Typical High $912.01 | Professional | None | $691.83 | $741.31 | $912.01 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Facility | None | $1,862.09 | $1,862.09 | $1,862.09 |
Anthem BCBS Setting Professional Modifier None Typical Low $100.00 Median $741.31 Typical High $1,862.09 | Professional | None | $100.00 | $741.31 | $1,862.09 |
CareSource Setting Facility Modifier None Typical Low $912.01 Median $1,096.48 Typical High $1,288.25 | Facility | None | $912.01 | $1,096.48 | $1,288.25 |
CareSource Setting Professional Modifier None Typical Low $977.24 Median $1,174.90 Typical High $1,513.56 | Professional | None | $977.24 | $1,174.90 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $1,348.96 Typical High $1,949.84 | Facility | None | $707.95 | $1,348.96 | $1,949.84 |
Cigna Setting Professional Modifier None Typical Low $457.09 Median $4,365.16 Typical High $4,365.16 | Professional | None | $457.09 | $4,365.16 | $4,365.16 |
United Setting Professional Modifier None Typical Low $380.19 Median $549.54 Typical High $1,000.00 | Professional | None | $380.19 | $549.54 | $1,000.00 |
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 $338.84 Median $371.54 Typical High $457.09 | Professional | 52 · Reduced service | $338.84 | $371.54 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $147.91 Typical High $181.97 | Professional | 53 · Discontinued | $138.04 | $147.91 | $181.97 |
Where Kentucky sits
The same service costs 3.7 times more in Alaska than in Maine. 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
$776
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.