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 $3.98 Median $7.08 Typical High $7.41 | Facility | None | $3.98 | $7.08 | $7.41 |
Aetna Setting Professional Modifier None Typical Low $3.98 Median $7.41 Typical High $8.71 | Professional | None | $3.98 | $7.41 | $8.71 |
Anthem BCBS Setting Facility Modifier None Typical Low $5.50 Median $8.71 Typical High $9.33 | Facility | None | $5.50 | $8.71 | $9.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.07 Median $4.90 Typical High $8.13 | Professional | None | $4.07 | $4.90 | $8.13 |
CareSource Setting Facility Modifier None Typical Low $8.71 Median $10.47 Typical High $12.30 | Facility | None | $8.71 | $10.47 | $12.30 |
CareSource Setting Professional Modifier None Typical Low $8.71 Median $10.96 Typical High $17.78 | Professional | None | $8.71 | $10.96 | $17.78 |
Cigna Setting Facility Modifier None Typical Low $6.92 Median $15.14 Typical High $20.89 | Facility | None | $6.92 | $15.14 | $20.89 |
Cigna Setting Professional Modifier None Typical Low $4.17 Median $54.95 Typical High $54.95 | Professional | None | $4.17 | $54.95 | $54.95 |
United Setting Professional Modifier None Typical Low $3.72 Median $5.25 Typical High $11.48 | Professional | None | $3.72 | $5.25 | $11.48 |
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 $2.00 Median $3.72 Typical High $4.37 | Professional | 52 · Reduced service | $2.00 | $3.72 | $4.37 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.79 Median $1.48 Typical High $1.78 | Professional | 53 · Discontinued | $0.79 | $1.48 | $1.78 |
Where Kentucky sits
The same service costs 3.5 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
$5.75
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.