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 $57.54 Median $1,202.26 Typical High $1,258.93 | Facility | None | $57.54 | $1,202.26 | $1,258.93 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $1,202.26 Typical High $1,445.44 | Professional | None | $57.54 | $1,202.26 | $1,445.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $933.25 Median $1,479.11 Typical High $1,548.82 | Facility | None | $933.25 | $1,479.11 | $1,548.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $25.70 Median $33.88 Typical High $588.84 | Professional | None | $25.70 | $33.88 | $588.84 |
CareSource Setting Facility Modifier None Typical Low $1,479.11 Median $1,778.28 Typical High $2,089.30 | Facility | None | $1,479.11 | $1,778.28 | $2,089.30 |
CareSource Setting Professional Modifier None Typical Low $1,479.11 Median $1,862.09 Typical High $2,951.21 | Professional | None | $1,479.11 | $1,862.09 | $2,951.21 |
Cigna Setting Facility Modifier None Typical Low $1,148.15 Median $2,187.76 Typical High $3,162.28 | Facility | None | $1,148.15 | $2,187.76 | $3,162.28 |
Cigna Setting Professional Modifier None Typical Low $676.08 Median $7,244.36 Typical High $7,244.36 | Professional | None | $676.08 | $7,244.36 | $7,244.36 |
United Setting Professional Modifier None Typical Low $630.96 Median $891.25 Typical High $1,479.11 | Professional | None | $630.96 | $891.25 | $1,479.11 |
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 $28.84 Median $602.56 Typical High $724.44 | Professional | 52 · Reduced service | $28.84 | $602.56 | $724.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $239.88 Typical High $288.40 | Professional | 53 · Discontinued | $11.48 | $239.88 | $288.40 |
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
$589
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.