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 $5.37 Median $14.79 Typical High $15.14 | Facility | None | $5.37 | $14.79 | $15.14 |
Aetna Setting Professional Modifier None Typical Low $5.37 Median $15.14 Typical High $18.20 | Professional | None | $5.37 | $15.14 | $18.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $11.22 Median $18.20 Typical High $19.05 | Facility | None | $11.22 | $18.20 | $19.05 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.30 Median $17.78 Typical High $28.84 | Professional | None | $12.30 | $17.78 | $28.84 |
CareSource Setting Facility Modifier None Typical Low $18.20 Median $21.88 Typical High $25.12 | Facility | None | $18.20 | $21.88 | $25.12 |
CareSource Setting Professional Modifier None Typical Low $18.20 Median $22.39 Typical High $36.31 | Professional | None | $18.20 | $22.39 | $36.31 |
Cigna Setting Facility Modifier None Typical Low $14.13 Median $50.12 Typical High $50.12 | Facility | None | $14.13 | $50.12 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $9.33 Median $138.04 Typical High $138.04 | Professional | None | $9.33 | $138.04 | $138.04 |
United Setting Professional Modifier None Typical Low $5.89 Median $17.38 Typical High $28.84 | Professional | None | $5.89 | $17.38 | $28.84 |
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 $2.69 Median $7.59 Typical High $9.12 | Professional | 52 · Reduced service | $2.69 | $7.59 | $9.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.10 Median $3.02 Typical High $3.63 | Professional | 53 · Discontinued | $1.10 | $3.02 | $3.63 |
Where Kentucky sits
The same service costs 4.7 times more in Kansas than in Texas. 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· 30th of 51
$17.78
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.