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 $10.47 Median $22.91 Typical High $23.99 | Facility | None | $10.47 | $22.91 | $23.99 |
Aetna Setting Professional Modifier None Typical Low $10.47 Median $23.99 Typical High $28.18 | Professional | None | $10.47 | $23.99 | $28.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $17.78 Median $28.18 Typical High $30.20 | Facility | None | $17.78 | $28.18 | $30.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $16.22 Median $22.39 Typical High $36.31 | Professional | None | $16.22 | $22.39 | $36.31 |
CareSource Setting Facility Modifier None Typical Low $28.18 Median $33.88 Typical High $39.81 | Facility | None | $28.18 | $33.88 | $39.81 |
CareSource Setting Professional Modifier None Typical Low $28.18 Median $35.48 Typical High $57.54 | Professional | None | $28.18 | $35.48 | $57.54 |
Cigna Setting Facility Modifier None Typical Low $22.39 Median $47.86 Typical High $60.26 | Facility | None | $22.39 | $47.86 | $60.26 |
Cigna Setting Professional Modifier None Typical Low $13.49 Median $177.83 Typical High $177.83 | Professional | None | $13.49 | $177.83 | $177.83 |
United Setting Professional Modifier None Typical Low $12.02 Median $21.88 Typical High $37.15 | Professional | None | $12.02 | $21.88 | $37.15 |
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 $5.25 Median $12.02 Typical High $14.13 | Professional | 52 · Reduced service | $5.25 | $12.02 | $14.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.09 Median $4.79 Typical High $5.75 | Professional | 53 · Discontinued | $2.09 | $4.79 | $5.75 |
Where Kentucky sits
The same service costs 4.8 times more in Kansas than in Texas. 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
$22.91
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.