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 $2,630.27 Median $2,691.53 Typical High $2,818.38 | Facility | None | $2,630.27 | $2,691.53 | $2,818.38 |
Aetna Setting Professional Modifier None Typical Low $2,454.71 Median $2,630.27 Typical High $3,235.94 | Professional | None | $2,454.71 | $2,630.27 | $3,235.94 |
Anthem BCBS Setting Facility Modifier None Typical Low $1,995.26 Median $3,235.94 Typical High $3,388.44 | Facility | None | $1,995.26 | $3,235.94 | $3,388.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $3,235.94 | Professional | None | $100.00 | $100.00 | $3,235.94 |
CareSource Setting Facility Modifier None Typical Low $3,235.94 Median $3,890.45 Typical High $4,570.88 | Facility | None | $3,235.94 | $3,890.45 | $4,570.88 |
CareSource Setting Professional Modifier None Typical Low $3,467.37 Median $4,168.69 Typical High $5,370.32 | Professional | None | $3,467.37 | $4,168.69 | $5,370.32 |
Cigna Setting Facility Modifier None Typical Low $2,511.89 Median $4,677.35 Typical High $7,585.78 | Facility | None | $2,511.89 | $4,677.35 | $7,585.78 |
Cigna Setting Professional Modifier None Typical Low $2,454.71 Median $15,488.17 Typical High $15,488.17 | Professional | None | $2,454.71 | $15,488.17 | $15,488.17 |
United Setting Professional Modifier None Typical Low $1,348.96 Median $1,949.84 Typical High $5,248.07 | Professional | None | $1,348.96 | $1,949.84 | $5,248.07 |
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 $1,202.26 Median $1,318.26 Typical High $1,621.81 | Professional | 52 · Reduced service | $1,202.26 | $1,318.26 | $1,621.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $489.78 Median $524.81 Typical High $645.65 | Professional | 53 · Discontinued | $489.78 | $524.81 | $645.65 |
Where Kentucky sits
The same service costs 5.4 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· 39th of 51
$2,399
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.