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 $7.94 Median $17.38 Typical High $18.20 | Facility | None | $7.94 | $17.38 | $18.20 |
Aetna Setting Professional Modifier None Typical Low $7.94 Median $18.20 Typical High $21.38 | Professional | None | $7.94 | $18.20 | $21.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $13.49 Median $21.38 Typical High $22.39 | Facility | None | $13.49 | $21.38 | $22.39 |
Anthem BCBS Setting Professional Modifier None Typical Low $13.49 Median $18.20 Typical High $29.51 | Professional | None | $13.49 | $18.20 | $29.51 |
CareSource Setting Facility Modifier None Typical Low $21.38 Median $25.70 Typical High $30.20 | Facility | None | $21.38 | $25.70 | $30.20 |
CareSource Setting Professional Modifier None Typical Low $21.38 Median $26.92 Typical High $42.66 | Professional | None | $21.38 | $26.92 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $16.60 Median $50.12 Typical High $50.12 | Facility | None | $16.60 | $50.12 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $10.96 Median $104.71 Typical High $104.71 | Professional | None | $10.96 | $104.71 | $104.71 |
United Setting Professional Modifier None Typical Low $7.08 Median $18.20 Typical High $30.20 | Professional | None | $7.08 | $18.20 | $30.20 |
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 $3.98 Median $9.12 Typical High $10.72 | Professional | 52 · Reduced service | $3.98 | $9.12 | $10.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.62 Median $3.63 Typical High $4.27 | Professional | 53 · Discontinued | $1.62 | $3.63 | $4.27 |
Where Kentucky sits
The same service costs 3.0 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· 35th of 51
$18.20
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.