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 $5.25 Median $6.17 Typical High $6.46 | Facility | None | $5.25 | $6.17 | $6.46 |
Aetna Setting Professional Modifier None Typical Low $5.25 Median $6.46 Typical High $7.59 | Professional | None | $5.25 | $6.46 | $7.59 |
Anthem BCBS Setting Facility Modifier None Typical Low $4.79 Median $7.59 Typical High $7.94 | Facility | None | $4.79 | $7.59 | $7.94 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.63 Median $6.31 Typical High $10.23 | Professional | None | $3.63 | $6.31 | $10.23 |
CareSource Setting Facility Modifier None Typical Low $7.59 Median $9.12 Typical High $10.72 | Facility | None | $7.59 | $9.12 | $10.72 |
CareSource Setting Professional Modifier None Typical Low $7.59 Median $9.55 Typical High $15.14 | Professional | None | $7.59 | $9.55 | $15.14 |
Cigna Setting Facility Modifier None Typical Low $5.89 Median $13.49 Typical High $16.22 | Facility | None | $5.89 | $13.49 | $16.22 |
Cigna Setting Professional Modifier None Typical Low $3.80 Median $52.48 Typical High $52.48 | Professional | None | $3.80 | $52.48 | $52.48 |
United Setting Professional Modifier None Typical Low $3.24 Median $6.17 Typical High $10.23 | Professional | None | $3.24 | $6.17 | $10.23 |
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 $2.63 Median $3.24 Typical High $3.80 | Professional | 52 · Reduced service | $2.63 | $3.24 | $3.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.05 Median $1.29 Typical High $1.51 | Professional | 53 · Discontinued | $1.05 | $1.29 | $1.51 |
Where Kentucky sits
The same service costs 3.8 times more in Kansas 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· 39th of 51
$6.31
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.