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 $19.50 Median $35.48 Typical High $37.15 | Facility | None | $19.50 | $35.48 | $37.15 |
Aetna Setting Professional Modifier None Typical Low $19.50 Median $35.48 Typical High $42.66 | Professional | None | $19.50 | $35.48 | $42.66 |
Ambetter Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | None | $26.92 | $26.92 | $26.92 |
Anthem BCBS Setting Facility Modifier None Typical Low $27.54 Median $44.67 Typical High $46.77 | Facility | None | $27.54 | $44.67 | $46.77 |
Anthem BCBS Setting Professional Modifier None Typical Low $15.85 Median $17.78 Typical High $25.70 | Professional | None | $15.85 | $17.78 | $25.70 |
CareSource Setting Facility Modifier None Typical Low $44.67 Median $53.70 Typical High $61.66 | Facility | None | $44.67 | $53.70 | $61.66 |
CareSource Setting Professional Modifier None Typical Low $44.67 Median $54.95 Typical High $89.13 | Professional | None | $44.67 | $54.95 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $66.07 Typical High $93.33 | Facility | None | $34.67 | $66.07 | $93.33 |
Cigna Setting Professional Modifier None Typical Low $16.22 Median $70.79 Typical High $213.80 | Professional | None | $16.22 | $70.79 | $213.80 |
United Setting Professional Modifier None Typical Low $10.72 Median $17.78 Typical High $44.67 | Professional | None | $10.72 | $17.78 | $44.67 |
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 $9.77 Median $17.78 Typical High $21.38 | Professional | 52 · Reduced service | $9.77 | $17.78 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.89 Median $7.24 Typical High $8.51 | Professional | 53 · Discontinued | $3.89 | $7.24 | $8.51 |
Where Kentucky sits
The same service costs 5.4 times more in Alaska 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· 50th of 51
$19.05
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.