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 $14.45 Median $15.85 Typical High $16.22 | Facility | None | $14.45 | $15.85 | $16.22 |
Aetna Setting Professional Modifier None Typical Low $14.45 Median $16.22 Typical High $19.50 | Professional | None | $14.45 | $16.22 | $19.50 |
Anthem BCBS Setting Facility Modifier None Typical Low $12.02 Median $19.50 Typical High $20.42 | Facility | None | $12.02 | $19.50 | $20.42 |
Anthem BCBS Setting Professional Modifier None Typical Low $13.49 Median $19.50 Typical High $26.92 | Professional | None | $13.49 | $19.50 | $26.92 |
CareSource Setting Facility Modifier None Typical Low $19.50 Median $23.44 Typical High $26.92 | Facility | None | $19.50 | $23.44 | $26.92 |
CareSource Setting Professional Modifier None Typical Low $19.50 Median $23.99 Typical High $38.90 | Professional | None | $19.50 | $23.99 | $38.90 |
Cigna Setting Facility Modifier None Typical Low $15.14 Median $35.48 Typical High $40.74 | Facility | None | $15.14 | $35.48 | $40.74 |
Cigna Setting Professional Modifier None Typical Low $10.00 Median $128.82 Typical High $128.82 | Professional | None | $10.00 | $128.82 | $128.82 |
United Setting Professional Modifier None Typical Low $8.13 Median $16.22 Typical High $26.92 | Professional | None | $8.13 | $16.22 | $26.92 |
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 $7.08 Median $8.13 Typical High $9.77 | Professional | 52 · Reduced service | $7.08 | $8.13 | $9.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.88 Median $3.24 Typical High $3.89 | Professional | 53 · Discontinued | $2.88 | $3.24 | $3.89 |
Where Kentucky sits
The same service costs 3.0 times more in Alaska 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· 24th of 51
$19.50
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.