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 $11.22 Median $11.75 Typical High $14.79 | Facility | None | $11.22 | $11.75 | $14.79 |
Aetna Setting Professional Modifier None Typical Low $11.22 Median $11.75 Typical High $14.79 | Professional | None | $11.22 | $11.75 | $14.79 |
Anthem BCBS Setting Facility Modifier None Typical Low $8.71 Median $13.80 Typical High $14.45 | Facility | None | $8.71 | $13.80 | $14.45 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.51 Median $11.75 Typical High $19.05 | Professional | None | $8.51 | $11.75 | $19.05 |
CareSource Setting Facility Modifier None Typical Low $13.80 Median $16.60 Typical High $19.50 | Facility | None | $13.80 | $16.60 | $19.50 |
CareSource Setting Professional Modifier None Typical Low $13.80 Median $17.38 Typical High $27.54 | Professional | None | $13.80 | $17.38 | $27.54 |
Cigna Setting Facility Modifier None Typical Low $10.72 Median $25.12 Typical High $29.51 | Facility | None | $10.72 | $25.12 | $29.51 |
Cigna Setting Professional Modifier None Typical Low $7.08 Median $93.33 Typical High $93.33 | Professional | None | $7.08 | $93.33 | $93.33 |
United Setting Professional Modifier None Typical Low $5.89 Median $11.75 Typical High $19.50 | Professional | None | $5.89 | $11.75 | $19.50 |
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 $5.62 Median $5.89 Typical High $7.41 | Professional | 52 · Reduced service | $5.62 | $5.89 | $7.41 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.24 Median $2.34 Typical High $2.95 | Professional | 53 · Discontinued | $2.24 | $2.34 | $2.95 |
Where Kentucky sits
The same service costs 3.4 times more in Kansas than in Maryland. 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
$11.75
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.