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 $22.39 Median $23.44 Typical High $28.18 | Facility | None | $22.39 | $23.44 | $28.18 |
Aetna Setting Professional Modifier None Typical Low $22.39 Median $23.44 Typical High $28.18 | Professional | None | $22.39 | $23.44 | $28.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $17.38 Median $28.18 Typical High $29.51 | Facility | None | $17.38 | $28.18 | $29.51 |
Anthem BCBS Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $23.99 | Professional | None | $11.22 | $11.22 | $23.99 |
CareSource Setting Facility Modifier None Typical Low $28.18 Median $33.88 Typical High $38.90 | Facility | None | $28.18 | $33.88 | $38.90 |
CareSource Setting Professional Modifier None Typical Low $28.18 Median $34.67 Typical High $56.23 | Professional | None | $28.18 | $34.67 | $56.23 |
Cigna Setting Facility Modifier None Typical Low $21.88 Median $50.12 Typical High $58.88 | Facility | None | $21.88 | $50.12 | $58.88 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $44.67 Typical High $134.90 | Professional | None | $12.88 | $44.67 | $134.90 |
United Setting Professional Modifier None Typical Low $11.75 Median $16.60 Typical High $30.90 | Professional | None | $11.75 | $16.60 | $30.90 |
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 $11.22 Median $11.75 Typical High $14.13 | Professional | 52 · Reduced service | $11.22 | $11.75 | $14.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.57 Median $4.68 Typical High $5.62 | Professional | 53 · Discontinued | $4.57 | $4.68 | $5.62 |
Where Kentucky sits
The same service costs 3.8 times more in Alaska than in Nebraska. 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
$16.98
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.