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 $56.23 Median $58.88 Typical High $346.74 | Facility | None | $56.23 | $58.88 | $346.74 |
Aetna Setting Professional Modifier None Typical Low $56.23 Median $58.88 Typical High $346.74 | Professional | None | $56.23 | $58.88 | $346.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $43.65 Median $69.18 Typical High $72.44 | Facility | None | $43.65 | $69.18 | $72.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $27.54 Median $45.71 Typical High $53.70 | Professional | None | $27.54 | $45.71 | $53.70 |
CareSource Setting Facility Modifier None Typical Low $69.18 Median $83.18 Typical High $97.72 | Facility | None | $69.18 | $83.18 | $97.72 |
CareSource Setting Professional Modifier None Typical Low $69.18 Median $87.10 Typical High $138.04 | Professional | None | $69.18 | $87.10 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $53.70 Median $102.33 Typical High $147.91 | Facility | None | $53.70 | $102.33 | $147.91 |
Cigna Setting Professional Modifier None Typical Low $31.62 Median $338.84 Typical High $338.84 | Professional | None | $31.62 | $338.84 | $338.84 |
United Setting Professional Modifier None Typical Low $29.51 Median $41.69 Typical High $69.18 | Professional | None | $29.51 | $41.69 | $69.18 |
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 $28.18 Median $29.51 Typical High $173.78 | Professional | 52 · Reduced service | $28.18 | $29.51 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $11.75 Typical High $70.79 | Professional | 53 · Discontinued | $11.22 | $11.75 | $70.79 |
Where Kentucky sits
The same service costs 3.7 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· 44th of 51
$53.70
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.