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 $32.36 Median $52.48 Typical High $53.70 | Facility | None | $32.36 | $52.48 | $53.70 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $53.70 Typical High $64.57 | Professional | None | $32.36 | $53.70 | $64.57 |
Anthem BCBS Setting Facility Modifier None Typical Low $39.81 Median $64.57 Typical High $67.61 | Facility | None | $39.81 | $64.57 | $67.61 |
Anthem BCBS Setting Professional Modifier None Typical Low $31.62 Median $54.95 Typical High $89.13 | Professional | None | $31.62 | $54.95 | $89.13 |
CareSource Setting Facility Modifier None Typical Low $64.57 Median $77.62 Typical High $91.20 | Facility | None | $64.57 | $77.62 | $91.20 |
CareSource Setting Professional Modifier None Typical Low $64.57 Median $81.28 Typical High $128.82 | Professional | None | $64.57 | $81.28 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $117.49 Typical High $138.04 | Facility | None | $50.12 | $117.49 | $138.04 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $426.58 Typical High $426.58 | Professional | None | $32.36 | $426.58 | $426.58 |
United Setting Professional Modifier None Typical Low $26.92 Median $53.70 Typical High $87.10 | Professional | None | $26.92 | $53.70 | $87.10 |
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 $16.22 Median $26.92 Typical High $32.36 | Professional | 52 · Reduced service | $16.22 | $26.92 | $32.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $10.72 Typical High $12.88 | Professional | 53 · Discontinued | $6.46 | $10.72 | $12.88 |
Where Kentucky sits
The same service costs 3.0 times more in Alaska than in Oklahoma. 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
$54.95
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.