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 $17.38 | Facility | None | $13.18 | $13.80 | $17.38 |
Aetna Setting Professional Modifier None Typical Low $13.18 Median $13.80 Typical High $17.38 | Professional | None | $13.18 | $13.80 | $17.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.23 Median $16.60 Typical High $17.38 | Facility | None | $10.23 | $16.60 | $17.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.12 Median $14.13 Typical High $22.91 | Professional | None | $9.12 | $14.13 | $22.91 |
CareSource Setting Facility Modifier None Typical Low $16.60 Median $19.95 Typical High $22.91 | Facility | None | $16.60 | $19.95 | $22.91 |
CareSource Setting Professional Modifier None Typical Low $16.60 Median $20.42 Typical High $33.11 | Professional | None | $16.60 | $20.42 | $33.11 |
Cigna Setting Facility Modifier None Typical Low $12.88 Median $29.51 Typical High $34.67 | Facility | None | $12.88 | $29.51 | $34.67 |
Cigna Setting Professional Modifier None Typical Low $8.51 Median $107.15 Typical High $107.15 | Professional | None | $8.51 | $107.15 | $107.15 |
United Setting Professional Modifier None Typical Low $6.92 Median $13.80 Typical High $22.39 | Professional | None | $6.92 | $13.80 | $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 $6.92 Typical High $8.71 | Professional | 52 · Reduced service | $6.61 | $6.92 | $8.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.63 Median $2.75 Typical High $3.47 | Professional | 53 · Discontinued | $2.63 | $2.75 | $3.47 |
Where Kentucky sits
The same service costs 3.0 times more in Alaska 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· 37th of 51
$14.13
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.