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 $7.94 Median $8.71 Typical High $9.12 | Facility | None | $7.94 | $8.71 | $9.12 |
Aetna Setting Professional Modifier None Typical Low $7.94 Median $9.12 Typical High $10.72 | Professional | None | $7.94 | $9.12 | $10.72 |
Anthem BCBS Setting Facility Modifier None Typical Low $6.76 Median $10.72 Typical High $11.22 | Facility | None | $6.76 | $10.72 | $11.22 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.76 Median $9.12 Typical High $14.79 | Professional | None | $6.76 | $9.12 | $14.79 |
CareSource Setting Facility Modifier None Typical Low $10.72 Median $12.88 Typical High $15.14 | Facility | None | $10.72 | $12.88 | $15.14 |
CareSource Setting Professional Modifier None Typical Low $10.72 Median $13.49 Typical High $21.38 | Professional | None | $10.72 | $13.49 | $21.38 |
Cigna Setting Facility Modifier None Typical Low $8.32 Median $19.50 Typical High $25.12 | Facility | None | $8.32 | $19.50 | $25.12 |
Cigna Setting Professional Modifier None Typical Low $5.50 Median $72.44 Typical High $72.44 | Professional | None | $5.50 | $72.44 | $72.44 |
United Setting Professional Modifier None Typical Low $3.55 Median $8.91 Typical High $14.79 | Professional | None | $3.55 | $8.91 | $14.79 |
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 $3.98 Median $4.47 Typical High $5.37 | Professional | 52 · Reduced service | $3.98 | $4.47 | $5.37 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.58 Median $1.82 Typical High $2.14 | Professional | 53 · Discontinued | $1.58 | $1.82 | $2.14 |
Where Kentucky sits
The same service costs 3.4 times more in Alaska 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· 37th of 51
$9.12
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.