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 $5.75 Median $10.72 Typical High $10.96 | Facility | None | $5.75 | $10.72 | $10.96 |
Aetna Setting Professional Modifier None Typical Low $5.75 Median $10.72 Typical High $13.18 | Professional | None | $5.75 | $10.72 | $13.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $8.13 Median $13.18 Typical High $13.80 | Facility | None | $8.13 | $13.18 | $13.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.25 Median $6.03 Typical High $10.00 | Professional | None | $5.25 | $6.03 | $10.00 |
CareSource Setting Facility Modifier None Typical Low $13.18 Median $15.85 Typical High $18.62 | Facility | None | $13.18 | $15.85 | $18.62 |
CareSource Setting Professional Modifier None Typical Low $13.18 Median $16.60 Typical High $26.30 | Professional | None | $13.18 | $16.60 | $26.30 |
Cigna Setting Facility Modifier None Typical Low $10.23 Median $50.12 Typical High $50.12 | Facility | None | $10.23 | $50.12 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $5.37 Median $63.10 Typical High $63.10 | Professional | None | $5.37 | $63.10 | $63.10 |
United Setting Professional Modifier None Typical Low $3.98 Median $6.03 Typical High $13.18 | Professional | None | $3.98 | $6.03 | $13.18 |
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 $2.88 Median $5.50 Typical High $6.61 | Professional | 52 · Reduced service | $2.88 | $5.50 | $6.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.15 Median $2.19 Typical High $2.63 | Professional | 53 · Discontinued | $1.15 | $2.19 | $2.63 |
Where Kentucky sits
The same service costs 4.7 times more in Alaska than in Kentucky. 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· 51st of 51
$6.31
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.