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 $4.47 Median $4.57 Typical High $7.24 | Facility | None | $4.47 | $4.57 | $7.24 |
Aetna Setting Professional Modifier None Typical Low $4.37 Median $4.57 Typical High $6.31 | Professional | None | $4.37 | $4.57 | $6.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.39 Median $5.50 Typical High $5.75 | Facility | None | $3.39 | $5.50 | $5.75 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.69 Median $4.68 Typical High $7.76 | Professional | None | $2.69 | $4.68 | $7.76 |
CareSource Setting Facility Modifier None Typical Low $5.50 Median $6.61 Typical High $7.76 | Facility | None | $5.50 | $6.61 | $7.76 |
CareSource Setting Professional Modifier None Typical Low $5.50 Median $6.92 Typical High $10.96 | Professional | None | $5.50 | $6.92 | $10.96 |
Cigna Setting Facility Modifier None Typical Low $4.27 Median $10.00 Typical High $11.75 | Facility | None | $4.27 | $10.00 | $11.75 |
Cigna Setting Professional Modifier None Typical Low $2.82 Median $38.02 Typical High $38.02 | Professional | None | $2.82 | $38.02 | $38.02 |
United Setting Professional Modifier None Typical Low $2.29 Median $4.57 Typical High $9.33 | Professional | None | $2.29 | $4.57 | $9.33 |
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 $2.24 Median $2.29 Typical High $3.16 | Professional | 52 · Reduced service | $2.24 | $2.29 | $3.16 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.89 Median $0.91 Typical High $1.26 | Professional | 53 · Discontinued | $0.89 | $0.91 | $1.26 |
Where Kentucky sits
The same service costs 2.9 times more in Alaska than in New Jersey. 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· 41st of 51
$4.68
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.