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 $13.18 Median $13.80 Typical High $14.45 | Facility | None | $13.18 | $13.80 | $14.45 |
Aetna Setting Professional Modifier None Typical Low $13.18 Median $14.45 Typical High $17.38 | Professional | None | $13.18 | $14.45 | $17.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.72 Median $17.38 Typical High $18.20 | Facility | None | $10.72 | $17.38 | $18.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.51 Median $13.80 Typical High $22.39 | Professional | None | $8.51 | $13.80 | $22.39 |
CareSource Setting Facility Modifier None Typical Low $17.38 Median $20.42 Typical High $23.99 | Facility | None | $17.38 | $20.42 | $23.99 |
CareSource Setting Professional Modifier None Typical Low $17.38 Median $21.38 Typical High $34.67 | Professional | None | $17.38 | $21.38 | $34.67 |
Cigna Setting Facility Modifier None Typical Low $13.49 Median $30.90 Typical High $36.31 | Facility | None | $13.49 | $30.90 | $36.31 |
Cigna Setting Professional Modifier None Typical Low $8.71 Median $112.20 Typical High $112.20 | Professional | None | $8.71 | $112.20 | $112.20 |
United Setting Professional Modifier None Typical Low $7.24 Median $13.49 Typical High $22.39 | Professional | None | $7.24 | $13.49 | $22.39 |
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 $6.61 Median $7.24 Typical High $8.51 | Professional | 52 · Reduced service | $6.61 | $7.24 | $8.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.69 Median $2.88 Typical High $3.47 | Professional | 53 · Discontinued | $2.69 | $2.88 | $3.47 |
Where Kentucky sits
The same service costs 3.3 times more in Kansas than in Maryland. 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
$13.80
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.