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 $436.52 Median $724.44 Typical High $758.58 | Facility | None | $436.52 | $724.44 | $758.58 |
Aetna Setting Professional Modifier None Typical Low $436.52 Median $724.44 Typical High $891.25 | Professional | None | $436.52 | $724.44 | $891.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $562.34 Median $891.25 Typical High $933.25 | Facility | None | $562.34 | $891.25 | $933.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $37.15 Median $48.98 Typical High $354.81 | Professional | None | $37.15 | $48.98 | $354.81 |
CareSource Setting Facility Modifier None Typical Low $891.25 Median $1,071.52 Typical High $1,258.93 | Facility | None | $891.25 | $1,071.52 | $1,258.93 |
CareSource Setting Professional Modifier None Typical Low $954.99 Median $1,174.90 Typical High $1,479.11 | Professional | None | $954.99 | $1,174.90 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $1,318.26 Typical High $1,905.46 | Facility | None | $691.83 | $1,318.26 | $1,905.46 |
Cigna Setting Professional Modifier None Typical Low $446.68 Median $4,365.16 Typical High $4,365.16 | Professional | None | $446.68 | $4,365.16 | $4,365.16 |
United Setting Professional Modifier None Typical Low $380.19 Median $537.03 Typical High $977.24 | Professional | None | $380.19 | $537.03 | $977.24 |
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 $218.78 Median $363.08 Typical High $446.68 | Professional | 52 · Reduced service | $218.78 | $363.08 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $144.54 Typical High $177.83 | Professional | 53 · Discontinued | $87.10 | $144.54 | $177.83 |
Where Kentucky sits
The same service costs 5.6 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
$355
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.