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 $0.76 Median $3.89 Typical High $3.98 | Facility | None | $0.76 | $3.89 | $3.98 |
Aetna Setting Professional Modifier None Typical Low $0.76 Median $3.98 Typical High $4.79 | Professional | None | $0.76 | $3.98 | $4.79 |
Anthem BCBS Setting Facility Modifier None Typical Low $2.95 Median $4.79 Typical High $5.01 | Facility | None | $2.95 | $4.79 | $5.01 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.34 Median $4.07 Typical High $6.61 | Professional | None | $2.34 | $4.07 | $6.61 |
CareSource Setting Facility Modifier None Typical Low $4.79 Median $5.75 Typical High $6.61 | Facility | None | $4.79 | $5.75 | $6.61 |
CareSource Setting Professional Modifier None Typical Low $4.79 Median $5.89 Typical High $9.55 | Professional | None | $4.79 | $5.89 | $9.55 |
Cigna Setting Facility Modifier None Typical Low $3.72 Median $8.71 Typical High $10.00 | Facility | None | $3.72 | $8.71 | $10.00 |
Cigna Setting Professional Modifier None Typical Low $2.45 Median $22.91 Typical High $22.91 | Professional | None | $2.45 | $22.91 | $22.91 |
United Setting Professional Modifier None Typical Low $2.00 Median $3.98 Typical High $6.46 | Professional | None | $2.00 | $3.98 | $6.46 |
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 $0.38 Median $2.00 Typical High $2.40 | Professional | 52 · Reduced service | $0.38 | $2.00 | $2.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.15 Median $0.79 Typical High $0.95 | Professional | 53 · Discontinued | $0.15 | $0.79 | $0.95 |
Where Kentucky sits
The same service costs 3.4 times more in Alaska than in Nebraska. 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· 37th of 51
$4.07
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.