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 $13.80 Median $17.78 Typical High $18.62 | Facility | None | $13.80 | $17.78 | $18.62 |
Aetna Setting Professional Modifier None Typical Low $13.80 Median $18.62 Typical High $21.88 | Professional | None | $13.80 | $18.62 | $21.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $13.80 Median $21.88 Typical High $22.91 | Facility | None | $13.80 | $21.88 | $22.91 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.96 Median $18.62 Typical High $30.20 | Professional | None | $10.96 | $18.62 | $30.20 |
CareSource Setting Facility Modifier None Typical Low $21.88 Median $26.30 Typical High $30.90 | Facility | None | $21.88 | $26.30 | $30.90 |
CareSource Setting Professional Modifier None Typical Low $21.88 Median $27.54 Typical High $43.65 | Professional | None | $21.88 | $27.54 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $16.98 Median $39.81 Typical High $51.29 | Facility | None | $16.98 | $39.81 | $51.29 |
Cigna Setting Professional Modifier None Typical Low $11.22 Median $144.54 Typical High $144.54 | Professional | None | $11.22 | $144.54 | $144.54 |
United Setting Professional Modifier None Typical Low $9.33 Median $18.62 Typical High $30.20 | Professional | None | $9.33 | $18.62 | $30.20 |
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 $6.92 Median $9.33 Typical High $10.96 | Professional | 52 · Reduced service | $6.92 | $9.33 | $10.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.75 Median $3.72 Typical High $4.37 | Professional | 53 · Discontinued | $2.75 | $3.72 | $4.37 |
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
$18.62
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.