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 $19.05 Median $21.38 Typical High $21.88 | Facility | None | $19.05 | $21.38 | $21.88 |
Aetna Setting Professional Modifier None Typical Low $19.05 Median $21.88 Typical High $26.30 | Professional | None | $19.05 | $21.88 | $26.30 |
Anthem BCBS Setting Facility Modifier None Typical Low $16.22 Median $26.30 Typical High $27.54 | Facility | None | $16.22 | $26.30 | $27.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $14.79 Median $19.95 Typical High $32.36 | Professional | None | $14.79 | $19.95 | $32.36 |
CareSource Setting Facility Modifier None Typical Low $26.30 Median $31.62 Typical High $37.15 | Facility | None | $26.30 | $31.62 | $37.15 |
CareSource Setting Professional Modifier None Typical Low $26.30 Median $33.11 Typical High $52.48 | Professional | None | $26.30 | $33.11 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $20.42 Median $50.12 Typical High $56.23 | Facility | None | $20.42 | $50.12 | $56.23 |
Cigna Setting Professional Modifier None Typical Low $12.02 Median $154.88 Typical High $154.88 | Professional | None | $12.02 | $154.88 | $154.88 |
United Setting Professional Modifier None Typical Low $9.33 Median $19.95 Typical High $32.36 | Professional | None | $9.33 | $19.95 | $32.36 |
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 $9.55 Median $10.96 Typical High $13.18 | Professional | 52 · Reduced service | $9.55 | $10.96 | $13.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.80 Median $4.37 Typical High $5.25 | Professional | 53 · Discontinued | $3.80 | $4.37 | $5.25 |
Where Kentucky sits
The same service costs 3.7 times more in Alaska than in Texas. 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· 44th of 51
$20.42
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.