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 $4.27 Median $14.45 Typical High $14.79 | Facility | None | $4.27 | $14.45 | $14.79 |
Aetna Setting Professional Modifier None Typical Low $4.27 Median $14.79 Typical High $17.78 | Professional | None | $4.27 | $14.79 | $17.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.96 Median $17.78 Typical High $18.62 | Facility | None | $10.96 | $17.78 | $18.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.41 Median $12.88 Typical High $20.89 | Professional | None | $7.41 | $12.88 | $20.89 |
CareSource Setting Facility Modifier None Typical Low $17.78 Median $21.38 Typical High $25.12 | Facility | None | $17.78 | $21.38 | $25.12 |
CareSource Setting Professional Modifier None Typical Low $17.78 Median $22.39 Typical High $35.48 | Professional | None | $17.78 | $22.39 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $13.80 Median $50.12 Typical High $50.12 | Facility | None | $13.80 | $50.12 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $8.13 Median $85.11 Typical High $85.11 | Professional | None | $8.13 | $85.11 | $85.11 |
United Setting Professional Modifier None Typical Low $7.41 Median $12.59 Typical High $20.89 | Professional | None | $7.41 | $12.59 | $20.89 |
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 $2.14 Median $7.41 Typical High $8.91 | Professional | 52 · Reduced service | $2.14 | $7.41 | $8.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.85 Median $3.02 Typical High $3.55 | Professional | 53 · Discontinued | $0.85 | $3.02 | $3.55 |
Where Kentucky sits
The same service costs 3.8 times more in Kansas 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· 47th of 51
$12.88
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.