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 $43.65 Median $45.71 Typical High $125.89 | Facility | None | $43.65 | $45.71 | $125.89 |
Aetna Setting Professional Modifier None Typical Low $43.65 Median $45.71 Typical High $125.89 | Professional | None | $43.65 | $45.71 | $125.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $33.88 Median $53.70 Typical High $57.54 | Facility | None | $33.88 | $53.70 | $57.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.72 Median $14.13 Typical High $21.88 | Professional | None | $10.72 | $14.13 | $21.88 |
CareSource Setting Facility Modifier None Typical Low $53.70 Median $64.57 Typical High $75.86 | Facility | None | $53.70 | $64.57 | $75.86 |
CareSource Setting Professional Modifier None Typical Low $53.70 Median $67.61 Typical High $109.65 | Professional | None | $53.70 | $67.61 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $42.66 Median $79.43 Typical High $114.82 | Facility | None | $42.66 | $79.43 | $114.82 |
Cigna Setting Professional Modifier None Typical Low $24.55 Median $263.03 Typical High $263.03 | Professional | None | $24.55 | $263.03 | $263.03 |
United Setting Professional Modifier None Typical Low $22.91 Median $32.36 Typical High $53.70 | Professional | None | $22.91 | $32.36 | $53.70 |
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 $21.88 Median $22.91 Typical High $63.10 | Professional | 52 · Reduced service | $21.88 | $22.91 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $9.12 Typical High $25.12 | Professional | 53 · Discontinued | $8.71 | $9.12 | $25.12 |
Where Kentucky sits
The same service costs 5.6 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
$21.88
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.