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 $7.94 Median $18.62 Typical High $42.66 | Facility | None | $7.94 | $18.62 | $42.66 |
Aetna Setting Professional Modifier None Typical Low $7.94 Median $18.20 Typical High $22.39 | Professional | None | $7.94 | $18.20 | $22.39 |
Anthem BCBS Setting Facility Modifier None Typical Low $13.80 Median $22.39 Typical High $23.44 | Facility | None | $13.80 | $22.39 | $23.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.55 Median $16.60 Typical High $26.92 | Professional | None | $9.55 | $16.60 | $26.92 |
CareSource Setting Facility Modifier None Typical Low $22.39 Median $26.92 Typical High $31.62 | Facility | None | $22.39 | $26.92 | $31.62 |
CareSource Setting Professional Modifier None Typical Low $22.39 Median $28.18 Typical High $44.67 | Professional | None | $22.39 | $28.18 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $17.38 Median $35.48 Typical High $47.86 | Facility | None | $17.38 | $35.48 | $47.86 |
Cigna Setting Professional Modifier None Typical Low $10.23 Median $128.82 Typical High $128.82 | Professional | None | $10.23 | $128.82 | $128.82 |
United Setting Professional Modifier None Typical Low $8.32 Median $16.22 Typical High $26.92 | Professional | None | $8.32 | $16.22 | $26.92 |
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 $3.98 Median $9.33 Typical High $11.22 | Professional | 52 · Reduced service | $3.98 | $9.33 | $11.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.62 Median $3.80 Typical High $4.47 | Professional | 53 · Discontinued | $1.62 | $3.80 | $4.47 |
Where Kentucky sits
The same service costs 3.2 times more in Alaska than in New York. 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· 48th 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.