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 $4.47 Median $50.12 Typical High $81.28 | Facility | None | $4.47 | $50.12 | $81.28 |
Aetna Setting Professional Modifier None Typical Low $4.47 Median $50.12 Typical High $61.66 | Professional | None | $4.47 | $50.12 | $61.66 |
Anthem BCBS Setting Facility Modifier None Typical Low $38.02 Median $61.66 Typical High $64.57 | Facility | None | $38.02 | $61.66 | $64.57 |
Anthem BCBS Setting Professional Modifier None Typical Low $20.89 Median $29.51 Typical High $47.86 | Professional | None | $20.89 | $29.51 | $47.86 |
CareSource Setting Facility Modifier None Typical Low $61.66 Median $74.13 Typical High $87.10 | Facility | None | $61.66 | $74.13 | $87.10 |
CareSource Setting Professional Modifier None Typical Low $61.66 Median $79.43 Typical High $123.03 | Professional | None | $61.66 | $79.43 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $47.86 Median $89.13 Typical High $131.83 | Facility | None | $47.86 | $89.13 | $131.83 |
Cigna Setting Professional Modifier None Typical Low $23.44 Median $295.12 Typical High $295.12 | Professional | None | $23.44 | $295.12 | $295.12 |
United Setting Professional Modifier None Typical Low $19.95 Median $28.84 Typical High $61.66 | Professional | None | $19.95 | $28.84 | $61.66 |
1 more rate 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 $2.24 Median $25.70 Typical High $30.90 | Professional | 52 · Reduced service | $2.24 | $25.70 | $30.90 |
Where Kentucky sits
The same service costs 6.5 times more in Alaska than in South Carolina. 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
$35.48
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.