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 $8.71 Median $8.91 Typical High $9.55 | Facility | None | $8.71 | $8.91 | $9.55 |
Aetna Setting Professional Modifier None Typical Low $8.51 Median $8.91 Typical High $10.72 | Professional | None | $8.51 | $8.91 | $10.72 |
Anthem BCBS Setting Facility Modifier None Typical Low $6.61 Median $10.72 Typical High $11.22 | Facility | None | $6.61 | $10.72 | $11.22 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.46 Median $8.71 Typical High $14.45 | Professional | None | $6.46 | $8.71 | $14.45 |
CareSource Setting Facility Modifier None Typical Low $10.72 Median $12.88 Typical High $15.14 | Facility | None | $10.72 | $12.88 | $15.14 |
CareSource Setting Professional Modifier None Typical Low $10.72 Median $13.49 Typical High $21.38 | Professional | None | $10.72 | $13.49 | $21.38 |
Cigna Setting Facility Modifier None Typical Low $8.32 Median $18.62 Typical High $22.91 | Facility | None | $8.32 | $18.62 | $22.91 |
Cigna Setting Professional Modifier None Typical Low $5.25 Median $66.07 Typical High $66.07 | Professional | None | $5.25 | $66.07 | $66.07 |
United Setting Professional Modifier None Typical Low $4.27 Median $8.71 Typical High $14.45 | Professional | None | $4.27 | $8.71 | $14.45 |
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 $4.37 Median $4.47 Typical High $5.37 | Professional | 52 · Reduced service | $4.37 | $4.47 | $5.37 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.74 Median $1.82 Typical High $2.14 | Professional | 53 · Discontinued | $1.74 | $1.82 | $2.14 |
Where Kentucky sits
The same service costs 3.9 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
$8.91
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.