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 $6.03 Median $19.95 Typical High $20.42 | Facility | None | $6.03 | $19.95 | $20.42 |
Aetna Setting Professional Modifier None Typical Low $6.03 Median $20.42 Typical High $24.55 | Professional | None | $6.03 | $20.42 | $24.55 |
Anthem BCBS Setting Facility Modifier None Typical Low $15.14 Median $24.55 Typical High $25.70 | Facility | None | $15.14 | $24.55 | $25.70 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.88 Median $20.89 Typical High $33.88 | Professional | None | $12.88 | $20.89 | $33.88 |
CareSource Setting Facility Modifier None Typical Low $24.55 Median $29.51 Typical High $34.67 | Facility | None | $24.55 | $29.51 | $34.67 |
CareSource Setting Professional Modifier None Typical Low $24.55 Median $30.90 Typical High $48.98 | Professional | None | $24.55 | $30.90 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $19.05 Median $44.67 Typical High $52.48 | Facility | None | $19.05 | $44.67 | $52.48 |
Cigna Setting Professional Modifier None Typical Low $12.30 Median $162.18 Typical High $162.18 | Professional | None | $12.30 | $162.18 | $162.18 |
United Setting Professional Modifier None Typical Low $10.23 Median $20.42 Typical High $33.11 | Professional | None | $10.23 | $20.42 | $33.11 |
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 $3.02 Median $10.23 Typical High $12.30 | Professional | 52 · Reduced service | $3.02 | $10.23 | $12.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.20 Median $4.07 Typical High $4.90 | Professional | 53 · Discontinued | $1.20 | $4.07 | $4.90 |
Where Kentucky sits
The same service costs 3.4 times more in Alaska than in Alabama. 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· 34th of 51
$20.89
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.