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 $4,365.16 Median $4,570.88 Typical High $5,495.41 | Facility | None | $4,365.16 | $4,570.88 | $5,495.41 |
Aetna Setting Professional Modifier None Typical Low $4,073.80 Median $4,365.16 Typical High $5,495.41 | Professional | None | $4,073.80 | $4,365.16 | $5,495.41 |
Anthem BCBS Setting Facility Modifier None Typical Low $3,388.44 Median $5,370.32 Typical High $5,623.41 | Facility | None | $3,388.44 | $5,370.32 | $5,623.41 |
Anthem BCBS Setting Professional Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $5,370.32 | Professional | None | $2,187.76 | $2,187.76 | $5,370.32 |
CareSource Setting Facility Modifier None Typical Low $5,495.41 Median $6,606.93 Typical High $7,585.78 | Facility | None | $5,495.41 | $6,606.93 | $7,585.78 |
CareSource Setting Professional Modifier None Typical Low $5,888.44 Median $7,079.46 Typical High $8,912.51 | Professional | None | $5,888.44 | $7,079.46 | $8,912.51 |
Cigna Setting Facility Modifier None Typical Low $4,168.69 Median $7,943.28 Typical High $12,882.50 | Facility | None | $4,168.69 | $7,943.28 | $12,882.50 |
Cigna Setting Professional Modifier None Typical Low $2,630.27 Median $26,302.68 Typical High $26,302.68 | Professional | None | $2,630.27 | $26,302.68 | $26,302.68 |
United Setting Professional Modifier None Typical Low $2,398.83 Median $3,311.31 Typical High $8,912.51 | Professional | None | $2,398.83 | $3,311.31 | $8,912.51 |
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 $2,041.74 Median $2,187.76 Typical High $2,754.23 | Professional | 52 · Reduced service | $2,041.74 | $2,187.76 | $2,754.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $812.83 Median $891.25 Typical High $1,096.48 | Professional | 53 · Discontinued | $812.83 | $891.25 | $1,096.48 |
Where Kentucky sits
The same service costs 6.2 times more in Texas 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· 35th of 51
$4,365
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.