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 $8.51 Median $9.55 Typical High $10.00 | Facility | None | $8.51 | $9.55 | $10.00 |
Aetna Setting Professional Modifier None Typical Low $8.51 Median $10.00 Typical High $11.75 | Professional | None | $8.51 | $10.00 | $11.75 |
Anthem BCBS Setting Facility Modifier None Typical Low $7.41 Median $11.75 Typical High $12.59 | Facility | None | $7.41 | $11.75 | $12.59 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.41 Median $10.00 Typical High $16.22 | Professional | None | $7.41 | $10.00 | $16.22 |
CareSource Setting Facility Modifier None Typical Low $11.75 Median $14.13 Typical High $16.60 | Facility | None | $11.75 | $14.13 | $16.60 |
CareSource Setting Professional Modifier None Typical Low $11.75 Median $14.79 Typical High $23.99 | Professional | None | $11.75 | $14.79 | $23.99 |
Cigna Setting Facility Modifier None Typical Low $9.33 Median $50.12 Typical High $50.12 | Facility | None | $9.33 | $50.12 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $6.17 Median $79.43 Typical High $79.43 | Professional | None | $6.17 | $79.43 | $79.43 |
United Setting Professional Modifier None Typical Low $5.01 Median $10.00 Typical High $16.22 | Professional | None | $5.01 | $10.00 | $16.22 |
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 $4.27 Median $5.01 Typical High $5.89 | Professional | 52 · Reduced service | $4.27 | $5.01 | $5.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.70 Median $2.00 Typical High $2.34 | Professional | 53 · Discontinued | $1.70 | $2.00 | $2.34 |
Where Kentucky sits
The same service costs 4.1 times more in Kansas than in Oklahoma. 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· 38th of 51
$10.00
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.