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 $4.07 Median $7.59 Typical High $7.76 | Facility | None | $4.07 | $7.59 | $7.76 |
Aetna Setting Professional Modifier None Typical Low $4.07 Median $7.76 Typical High $9.33 | Professional | None | $4.07 | $7.76 | $9.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $5.75 Median $9.33 Typical High $9.77 | Facility | None | $5.75 | $9.33 | $9.77 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.63 Median $5.89 Typical High $9.55 | Professional | None | $3.63 | $5.89 | $9.55 |
CareSource Setting Facility Modifier None Typical Low $9.33 Median $11.22 Typical High $13.18 | Facility | None | $9.33 | $11.22 | $13.18 |
CareSource Setting Professional Modifier None Typical Low $9.33 Median $11.75 Typical High $18.62 | Professional | None | $9.33 | $11.75 | $18.62 |
Cigna Setting Facility Modifier None Typical Low $7.24 Median $13.80 Typical High $19.95 | Facility | None | $7.24 | $13.80 | $19.95 |
Cigna Setting Professional Modifier None Typical Low $4.27 Median $57.54 Typical High $57.54 | Professional | None | $4.27 | $57.54 | $57.54 |
United Setting Professional Modifier None Typical Low $3.89 Median $5.75 Typical High $11.22 | Professional | None | $3.89 | $5.75 | $11.22 |
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 $2.04 Median $3.89 Typical High $4.68 | Professional | 52 · Reduced service | $2.04 | $3.89 | $4.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.81 Median $1.58 Typical High $1.86 | Professional | 53 · Discontinued | $0.81 | $1.58 | $1.86 |
Where Kentucky sits
The same service costs 5.9 times more in Kansas than in Nebraska. 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· 50th of 51
$6.46
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.