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 $645.65 Median $660.69 Typical High $831.76 | Facility | None | $645.65 | $660.69 | $831.76 |
Aetna Setting Professional Modifier None Typical Low $602.56 Median $660.69 Typical High $831.76 | Professional | None | $602.56 | $660.69 | $831.76 |
Anthem BCBS Setting Facility Modifier None Typical Low $489.78 Median $794.33 Typical High $831.76 | Facility | None | $489.78 | $794.33 | $831.76 |
Anthem BCBS Setting Professional Modifier None Typical Low $11.22 Median $13.18 Typical High $645.65 | Professional | None | $11.22 | $13.18 | $645.65 |
CareSource Setting Facility Modifier None Typical Low $794.33 Median $954.99 Typical High $1,122.02 | Facility | None | $794.33 | $954.99 | $1,122.02 |
CareSource Setting Professional Modifier None Typical Low $851.14 Median $1,023.29 Typical High $1,318.26 | Professional | None | $851.14 | $1,023.29 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $1,148.15 Typical High $1,698.24 | Facility | None | $616.60 | $1,148.15 | $1,698.24 |
Cigna Setting Professional Modifier None Typical Low $398.11 Median $3,801.89 Typical High $3,801.89 | Professional | None | $398.11 | $3,801.89 | $3,801.89 |
United Setting Professional Modifier None Typical Low $331.13 Median $478.63 Typical High $870.96 | Professional | None | $331.13 | $478.63 | $870.96 |
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 $331.13 Typical High $416.87 | Professional | 52 · Reduced service | $295.12 | $331.13 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $134.90 Typical High $165.96 | Professional | 53 · Discontinued | $120.23 | $134.90 | $165.96 |
Where Kentucky sits
The same service costs 3.7 times more in Alaska than in Kentucky. 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· 51st of 51
$479
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.