How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $114.82 Median $120.23 Typical High $213.80 | Facility | None | $114.82 | $120.23 | $213.80 |
Aetna Setting Professional Modifier None Typical Low $107.15 Median $120.23 Typical High $213.80 | Professional | None | $107.15 | $120.23 | $213.80 |
Ambetter Setting Professional Modifier None Typical Low $87.10 Median $97.72 Typical High $97.72 | Professional | None | $87.10 | $97.72 | $97.72 |
Anthem BCBS Setting Facility Modifier None Typical Low $89.13 Median $141.25 Typical High $151.36 | Facility | None | $89.13 | $141.25 | $151.36 |
Anthem BCBS Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $141.25 | Professional | None | $57.54 | $57.54 | $141.25 |
CareSource Setting Facility Modifier None Typical Low $141.25 Median $190.55 Typical High $199.53 | Facility | None | $141.25 | $190.55 | $199.53 |
CareSource Setting Professional Modifier None Typical Low $141.25 Median $186.21 Typical High $234.42 | Professional | None | $141.25 | $186.21 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $208.93 Typical High $338.84 | Facility | None | $112.20 | $208.93 | $338.84 |
Cigna Setting Professional Modifier None Typical Low $67.61 Median $691.83 Typical High $691.83 | Professional | None | $67.61 | $691.83 | $691.83 |
United Setting Professional Modifier None Typical Low $61.66 Median $85.11 Typical High $229.09 | Professional | None | $61.66 | $85.11 | $229.09 |
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 $53.70 Median $57.54 Typical High $70.79 | Professional | 52 · Reduced service | $53.70 | $57.54 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $22.91 Typical High $28.84 | Professional | 53 · Discontinued | $21.38 | $22.91 | $28.84 |
Where Kentucky sits
The same service costs 5.1 times more in Alaska than in Alabama. 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· 36th of 51
$117
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.