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 $9.12 Median $9.33 Typical High $12.59 | Facility | None | $9.12 | $9.33 | $12.59 |
Aetna Setting Professional Modifier None Typical Low $8.91 Median $9.33 Typical High $12.59 | Professional | None | $8.91 | $9.33 | $12.59 |
Anthem BCBS Setting Facility Modifier None Typical Low $6.92 Median $11.22 Typical High $11.75 | Facility | None | $6.92 | $11.22 | $11.75 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.50 Median $7.59 Typical High $12.59 | Professional | None | $5.50 | $7.59 | $12.59 |
CareSource Setting Facility Modifier None Typical Low $11.22 Median $13.49 Typical High $15.49 | Facility | None | $11.22 | $13.49 | $15.49 |
CareSource Setting Professional Modifier None Typical Low $11.22 Median $13.80 Typical High $22.39 | Professional | None | $11.22 | $13.80 | $22.39 |
Cigna Setting Facility Modifier None Typical Low $8.71 Median $20.42 Typical High $23.44 | Facility | None | $8.71 | $20.42 | $23.44 |
Cigna Setting Professional Modifier None Typical Low $5.62 Median $75.86 Typical High $75.86 | Professional | None | $5.62 | $75.86 | $75.86 |
United Setting Professional Modifier None Typical Low $4.68 Median $7.59 Typical High $13.49 | Professional | None | $4.68 | $7.59 | $13.49 |
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 $4.68 Typical High $6.17 | Professional | 52 · Reduced service | $4.47 | $4.68 | $6.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.82 Median $1.86 Typical High $2.51 | Professional | 53 · Discontinued | $1.82 | $1.86 | $2.51 |
Where Kentucky sits
The same service costs 3.5 times more in Kansas 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
$7.94
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.