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 $8.51 Median $18.20 Typical High $19.05 | Facility | None | $8.51 | $18.20 | $19.05 |
Aetna Setting Professional Modifier None Typical Low $8.51 Median $19.05 Typical High $22.91 | Professional | None | $8.51 | $19.05 | $22.91 |
Anthem BCBS Setting Facility Modifier None Typical Low $14.13 Median $22.91 Typical High $23.99 | Facility | None | $14.13 | $22.91 | $23.99 |
Anthem BCBS Setting Professional Modifier None Typical Low $11.22 Median $19.05 Typical High $31.62 | Professional | None | $11.22 | $19.05 | $31.62 |
CareSource Setting Facility Modifier None Typical Low $22.91 Median $26.92 Typical High $31.62 | Facility | None | $22.91 | $26.92 | $31.62 |
CareSource Setting Professional Modifier None Typical Low $22.91 Median $28.18 Typical High $45.71 | Professional | None | $22.91 | $28.18 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $17.78 Median $40.74 Typical High $53.70 | Facility | None | $17.78 | $40.74 | $53.70 |
Cigna Setting Professional Modifier None Typical Low $11.48 Median $109.65 Typical High $109.65 | Professional | None | $11.48 | $109.65 | $109.65 |
United Setting Professional Modifier None Typical Low $9.55 Median $19.05 Typical High $30.90 | Professional | None | $9.55 | $19.05 | $30.90 |
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 $4.27 Median $9.55 Typical High $11.22 | Professional | 52 · Reduced service | $4.27 | $9.55 | $11.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.70 Median $3.80 Typical High $4.57 | Professional | 53 · Discontinued | $1.70 | $3.80 | $4.57 |
Where Kentucky sits
The same service costs 4.2 times more in Kansas 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· 38th of 51
$19.05
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.