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 $8.13 Median $16.98 Typical High $17.78 | Facility | None | $8.13 | $16.98 | $17.78 |
Aetna Setting Professional Modifier None Typical Low $8.13 Median $17.78 Typical High $20.89 | Professional | None | $8.13 | $17.78 | $20.89 |
Anthem BCBS Setting Facility Modifier None Typical Low $13.18 Median $20.89 Typical High $21.88 | Facility | None | $13.18 | $20.89 | $21.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $11.75 Median $15.85 Typical High $26.30 | Professional | None | $11.75 | $15.85 | $26.30 |
CareSource Setting Facility Modifier None Typical Low $20.89 Median $25.12 Typical High $29.51 | Facility | None | $20.89 | $25.12 | $29.51 |
CareSource Setting Professional Modifier None Typical Low $20.89 Median $26.30 Typical High $41.69 | Professional | None | $20.89 | $26.30 | $41.69 |
Cigna Setting Facility Modifier None Typical Low $16.22 Median $50.12 Typical High $50.12 | Facility | None | $16.22 | $50.12 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $9.55 Median $100.00 Typical High $100.00 | Professional | None | $9.55 | $100.00 | $100.00 |
United Setting Professional Modifier None Typical Low $8.71 Median $15.85 Typical High $26.30 | Professional | None | $8.71 | $15.85 | $26.30 |
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 $4.07 Median $8.71 Typical High $10.47 | Professional | 52 · Reduced service | $4.07 | $8.71 | $10.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.62 Median $3.55 Typical High $4.17 | Professional | 53 · Discontinued | $1.62 | $3.55 | $4.17 |
Where Kentucky sits
The same service costs 3.2 times more in Alaska than in New Jersey. 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· 40th of 51
$16.60
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.