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 $8.32 Median $35.48 Typical High $37.15 | Facility | None | $8.32 | $35.48 | $37.15 |
Aetna Setting Professional Modifier None Typical Low $8.32 Median $37.15 Typical High $43.65 | Professional | None | $8.32 | $37.15 | $43.65 |
Anthem BCBS Setting Facility Modifier None Typical Low $27.54 Median $43.65 Typical High $46.77 | Facility | None | $27.54 | $43.65 | $46.77 |
Anthem BCBS Setting Professional Modifier None Typical Low $15.14 Median $16.22 Typical High $25.12 | Professional | None | $15.14 | $16.22 | $25.12 |
CareSource Setting Facility Modifier None Typical Low $43.65 Median $52.48 Typical High $61.66 | Facility | None | $43.65 | $52.48 | $61.66 |
CareSource Setting Professional Modifier None Typical Low $43.65 Median $54.95 Typical High $87.10 | Professional | None | $43.65 | $54.95 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $33.88 Median $64.57 Typical High $93.33 | Facility | None | $33.88 | $64.57 | $93.33 |
Cigna Setting Professional Modifier None Typical Low $12.30 Median $213.80 Typical High $213.80 | Professional | None | $12.30 | $213.80 | $213.80 |
United Setting Professional Modifier None Typical Low $15.14 Median $18.62 Typical High $43.65 | Professional | None | $15.14 | $18.62 | $43.65 |
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 $4.17 Median $18.62 Typical High $21.88 | Professional | 52 · Reduced service | $4.17 | $18.62 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.66 Median $7.41 Typical High $8.71 | Professional | 53 · Discontinued | $1.66 | $7.41 | $8.71 |
Where Kentucky sits
The same service costs 5.6 times more in Alaska than in Georgia. 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· 50th of 51
$19.95
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.