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 $2.69 Median $3.24 Typical High $3.39 | Facility | None | $2.69 | $3.24 | $3.39 |
Aetna Setting Professional Modifier None Typical Low $2.69 Median $3.24 Typical High $3.98 | Professional | None | $2.69 | $3.24 | $3.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $2.51 Median $3.98 Typical High $4.17 | Facility | None | $2.51 | $3.98 | $4.17 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.58 Median $2.00 Typical High $3.31 | Professional | None | $1.58 | $2.00 | $3.31 |
CareSource Setting Facility Modifier None Typical Low $3.98 Median $4.79 Typical High $5.62 | Facility | None | $3.98 | $4.79 | $5.62 |
CareSource Setting Professional Modifier None Typical Low $3.98 Median $5.01 Typical High $7.94 | Professional | None | $3.98 | $5.01 | $7.94 |
Cigna Setting Facility Modifier None Typical Low $3.09 Median $50.12 Typical High $50.12 | Facility | None | $3.09 | $50.12 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $1.66 Median $19.50 Typical High $19.50 | Professional | None | $1.66 | $19.50 | $19.50 |
United Setting Professional Modifier None Typical Low $1.82 Median $3.31 Typical High $3.98 | Professional | None | $1.82 | $3.31 | $3.98 |
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 $1.35 Median $1.70 Typical High $2.00 | Professional | 52 · Reduced service | $1.35 | $1.70 | $2.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.54 Median $0.68 Typical High $0.79 | Professional | 53 · Discontinued | $0.54 | $0.68 | $0.79 |
Where Kentucky sits
The same service costs 3.3 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
$2.75
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.