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 $8.91 Median $23.44 Typical High $24.55 | Facility | None | $8.91 | $23.44 | $24.55 |
Aetna Setting Professional Modifier None Typical Low $8.91 Median $23.44 Typical High $28.84 | Professional | None | $8.91 | $23.44 | $28.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $18.20 Median $28.84 Typical High $30.90 | Facility | None | $18.20 | $28.84 | $30.90 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.30 Median $21.38 Typical High $34.67 | Professional | None | $12.30 | $21.38 | $34.67 |
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 $50.12 Typical High $63.10 | Facility | None | $22.39 | $50.12 | $63.10 |
Cigna Setting Professional Modifier None Typical Low $13.49 Median $165.96 Typical High $165.96 | Professional | None | $13.49 | $165.96 | $165.96 |
United Setting Professional Modifier None Typical Low $11.48 Median $20.89 Typical High $34.67 | Professional | None | $11.48 | $20.89 | $34.67 |
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 $4.47 Median $12.30 Typical High $14.45 | Professional | 52 · Reduced service | $4.47 | $12.30 | $14.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.78 Median $4.90 Typical High $5.75 | Professional | 53 · Discontinued | $1.78 | $4.90 | $5.75 |
Where Kentucky sits
The same service costs 3.5 times more in Alaska 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· 48th of 51
$21.38
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.