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 $16.98 Median $18.62 Typical High $24.55 | Facility | None | $16.98 | $18.62 | $24.55 |
Aetna Setting Professional Modifier None Typical Low $16.98 Median $18.62 Typical High $22.91 | Professional | None | $16.98 | $18.62 | $22.91 |
Anthem BCBS Setting Facility Modifier None Typical Low $14.45 Median $22.91 Typical High $23.99 | Facility | None | $14.45 | $22.91 | $23.99 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.88 Median $4.79 Typical High $19.50 | Professional | None | $2.88 | $4.79 | $19.50 |
CareSource Setting Facility Modifier None Typical Low $22.91 Median $27.54 Typical High $32.36 | Facility | None | $22.91 | $27.54 | $32.36 |
CareSource Setting Professional Modifier None Typical Low $22.91 Median $28.84 Typical High $45.71 | Professional | None | $22.91 | $28.84 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $17.78 Median $33.88 Typical High $48.98 | Facility | None | $17.78 | $33.88 | $48.98 |
Cigna Setting Professional Modifier None Typical Low $10.47 Median $190.55 Typical High $190.55 | Professional | None | $10.47 | $190.55 | $190.55 |
United Setting Professional Modifier None Typical Low $9.55 Median $14.13 Typical High $23.44 | Professional | None | $9.55 | $14.13 | $23.44 |
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 $8.51 Median $9.55 Typical High $11.48 | Professional | 52 · Reduced service | $8.51 | $9.55 | $11.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.39 Median $3.89 Typical High $4.57 | Professional | 53 · Discontinued | $3.39 | $3.89 | $4.57 |
Where Kentucky sits
The same service costs 4.9 times more in Kansas than in Kentucky. 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· 51st of 51
$14.45
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.