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 $7.41 Median $7.76 Typical High $17.38 | Facility | None | $7.41 | $7.76 | $17.38 |
Aetna Setting Professional Modifier None Typical Low $7.41 Median $7.76 Typical High $9.12 | Professional | None | $7.41 | $7.76 | $9.12 |
Ambetter Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $11.48 | Professional | None | $11.48 | $11.48 | $11.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $5.75 Median $9.12 Typical High $9.77 | Facility | None | $5.75 | $9.12 | $9.77 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.57 Median $7.76 Typical High $12.88 | Professional | None | $4.57 | $7.76 | $12.88 |
CareSource Setting Facility Modifier None Typical Low $9.12 Median $10.96 Typical High $12.88 | Facility | None | $9.12 | $10.96 | $12.88 |
CareSource Setting Professional Modifier None Typical Low $9.12 Median $11.48 Typical High $18.62 | Professional | None | $9.12 | $11.48 | $18.62 |
Cigna Setting Facility Modifier None Typical Low $7.24 Median $16.60 Typical High $19.50 | Facility | None | $7.24 | $16.60 | $19.50 |
Cigna Setting Professional Modifier None Typical Low $4.57 Median $60.26 Typical High $60.26 | Professional | None | $4.57 | $60.26 | $60.26 |
United Setting Professional Modifier None Typical Low $3.89 Median $7.76 Typical High $12.88 | Professional | None | $3.89 | $7.76 | $12.88 |
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 $3.72 Median $3.89 Typical High $4.57 | Professional | 52 · Reduced service | $3.72 | $3.89 | $4.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.48 Median $1.55 Typical High $1.82 | Professional | 53 · Discontinued | $1.48 | $1.55 | $1.82 |
Where Kentucky sits
The same service costs 3.6 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
$7.76
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.