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 $20.42 Median $23.44 Typical High $23.99 | Facility | None | $20.42 | $23.44 | $23.99 |
Aetna Setting Professional Modifier None Typical Low $20.42 Median $23.99 Typical High $28.84 | Professional | None | $20.42 | $23.99 | $28.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $17.78 Median $28.84 Typical High $30.20 | Facility | None | $17.78 | $28.84 | $30.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $15.14 Median $24.55 Typical High $39.81 | Professional | None | $15.14 | $24.55 | $39.81 |
CareSource Setting Facility Modifier None Typical Low $28.84 Median $34.67 Typical High $40.74 | Facility | None | $28.84 | $34.67 | $40.74 |
CareSource Setting Professional Modifier None Typical Low $28.84 Median $36.31 Typical High $57.54 | Professional | None | $28.84 | $36.31 | $57.54 |
Cigna Setting Facility Modifier None Typical Low $22.39 Median $52.48 Typical High $61.66 | Facility | None | $22.39 | $52.48 | $61.66 |
Cigna Setting Professional Modifier None Typical Low $14.79 Median $190.55 Typical High $190.55 | Professional | None | $14.79 | $190.55 | $190.55 |
United Setting Professional Modifier None Typical Low $12.02 Median $23.99 Typical High $38.90 | Professional | None | $12.02 | $23.99 | $38.90 |
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 $10.23 Median $12.02 Typical High $14.45 | Professional | 52 · Reduced service | $10.23 | $12.02 | $14.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.07 Median $4.79 Typical High $5.75 | Professional | 53 · Discontinued | $4.07 | $4.79 | $5.75 |
Where Kentucky sits
The same service costs 5.5 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· 34th of 51
$24.55
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.