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 $7.94 Median $20.89 Typical High $21.88 | Facility | None | $7.94 | $20.89 | $21.88 |
Aetna Setting Professional Modifier None Typical Low $7.94 Median $21.88 Typical High $25.70 | Professional | None | $7.94 | $21.88 | $25.70 |
Anthem BCBS Setting Facility Modifier None Typical Low $16.22 Median $25.70 Typical High $26.92 | Facility | None | $16.22 | $25.70 | $26.92 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.88 Median $21.88 Typical High $35.48 | Professional | None | $12.88 | $21.88 | $35.48 |
CareSource Setting Facility Modifier None Typical Low $25.70 Median $30.90 Typical High $36.31 | Facility | None | $25.70 | $30.90 | $36.31 |
CareSource Setting Professional Modifier None Typical Low $25.70 Median $32.36 Typical High $51.29 | Professional | None | $25.70 | $32.36 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $19.95 Median $46.77 Typical High $60.26 | Facility | None | $19.95 | $46.77 | $60.26 |
Cigna Setting Professional Modifier None Typical Low $13.18 Median $169.82 Typical High $169.82 | Professional | None | $13.18 | $169.82 | $169.82 |
United Setting Professional Modifier None Typical Low $8.51 Median $21.88 Typical High $36.31 | Professional | None | $8.51 | $21.88 | $36.31 |
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 $3.98 Median $10.96 Typical High $12.88 | Professional | 52 · Reduced service | $3.98 | $10.96 | $12.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.58 Median $4.37 Typical High $5.13 | Professional | 53 · Discontinued | $1.58 | $4.37 | $5.13 |
Where Kentucky sits
The same service costs 4.0 times more in Kansas 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
$21.88
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.