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 $8.91 Median $10.23 Typical High $10.72 | Facility | None | $8.91 | $10.23 | $10.72 |
Aetna Setting Professional Modifier None Typical Low $8.91 Median $10.72 Typical High $12.88 | Professional | None | $8.91 | $10.72 | $12.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $7.94 Median $12.88 Typical High $13.49 | Facility | None | $7.94 | $12.88 | $13.49 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.75 Median $7.94 Typical High $12.88 | Professional | None | $5.75 | $7.94 | $12.88 |
CareSource Setting Facility Modifier None Typical Low $12.88 Median $15.14 Typical High $17.78 | Facility | None | $12.88 | $15.14 | $17.78 |
CareSource Setting Professional Modifier None Typical Low $12.88 Median $15.85 Typical High $25.70 | Professional | None | $12.88 | $15.85 | $25.70 |
Cigna Setting Facility Modifier None Typical Low $10.00 Median $50.12 Typical High $50.12 | Facility | None | $10.00 | $50.12 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $5.89 Median $77.62 Typical High $77.62 | Professional | None | $5.89 | $77.62 | $77.62 |
United Setting Professional Modifier None Typical Low $5.25 Median $7.76 Typical High $15.14 | Professional | None | $5.25 | $7.76 | $15.14 |
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 $4.47 Median $5.37 Typical High $6.31 | Professional | 52 · Reduced service | $4.47 | $5.37 | $6.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.82 Median $2.14 Typical High $2.51 | Professional | 53 · Discontinued | $1.82 | $2.14 | $2.51 |
Where Kentucky sits
The same service costs 3.2 times more in Alaska than in Kentucky. 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· 51st of 51
$8.91
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.