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 $15.85 Typical High $16.60 | Facility | None | $8.32 | $15.85 | $16.60 |
Aetna Setting Professional Modifier None Typical Low $8.32 Median $16.60 Typical High $19.95 | Professional | None | $8.32 | $16.60 | $19.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $12.30 Median $19.95 Typical High $20.89 | Facility | None | $12.30 | $19.95 | $20.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.33 Median $15.49 Typical High $25.12 | Professional | None | $9.33 | $15.49 | $25.12 |
CareSource Setting Facility Modifier None Typical Low $19.95 Median $23.44 Typical High $27.54 | Facility | None | $19.95 | $23.44 | $27.54 |
CareSource Setting Professional Modifier None Typical Low $19.95 Median $24.55 Typical High $39.81 | Professional | None | $19.95 | $24.55 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $15.49 Median $33.11 Typical High $41.69 | Facility | None | $15.49 | $33.11 | $41.69 |
Cigna Setting Professional Modifier None Typical Low $9.33 Median $120.23 Typical High $120.23 | Professional | None | $9.33 | $120.23 | $120.23 |
United Setting Professional Modifier None Typical Low $8.32 Median $15.14 Typical High $24.55 | Professional | None | $8.32 | $15.14 | $24.55 |
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 $8.32 Typical High $9.77 | Professional | 52 · Reduced service | $4.17 | $8.32 | $9.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.66 Median $3.31 Typical High $3.98 | Professional | 53 · Discontinued | $1.66 | $3.31 | $3.98 |
Where Kentucky sits
The same service costs 5.5 times more in Kansas 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· 44th of 51
$15.85
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.