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 $588.84 Median $676.08 Typical High $707.95 | Facility | None | $588.84 | $676.08 | $707.95 |
Aetna Setting Professional Modifier None Typical Low $588.84 Median $676.08 Typical High $831.76 | Professional | None | $588.84 | $676.08 | $831.76 |
Anthem BCBS Setting Facility Modifier None Typical Low $524.81 Median $831.76 Typical High $891.25 | Facility | None | $524.81 | $831.76 | $891.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $549.54 | Professional | None | $97.72 | $97.72 | $549.54 |
CareSource Setting Facility Modifier None Typical Low $831.76 Median $1,000.00 Typical High $1,174.90 | Facility | None | $831.76 | $1,000.00 | $1,174.90 |
CareSource Setting Professional Modifier None Typical Low $891.25 Median $1,096.48 Typical High $1,380.38 | Professional | None | $891.25 | $1,096.48 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,230.27 Typical High $1,778.28 | Facility | None | $660.69 | $1,230.27 | $1,778.28 |
Cigna Setting Professional Modifier None Typical Low $426.58 Median $4,073.80 Typical High $4,073.80 | Professional | None | $426.58 | $4,073.80 | $4,073.80 |
United Setting Professional Modifier None Typical Low $354.81 Median $380.19 Typical High $933.25 | Professional | None | $354.81 | $380.19 | $933.25 |
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 $295.12 Median $338.84 Typical High $416.87 | Professional | 52 · Reduced service | $295.12 | $338.84 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $134.90 Typical High $169.82 | Professional | 53 · Discontinued | $117.49 | $134.90 | $169.82 |
Where Kentucky sits
The same service costs 5.4 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· 50th of 51
$427
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.