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 $8.51 Median $13.80 Typical High $14.45 | Facility | None | $8.51 | $13.80 | $14.45 |
Aetna Setting Professional Modifier None Typical Low $8.51 Median $14.45 Typical High $16.98 | Professional | None | $8.51 | $14.45 | $16.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $9.77 Median $15.85 Typical High $16.60 | Facility | None | $9.77 | $15.85 | $16.60 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.32 Median $19.95 Typical High $47.86 | Professional | None | $8.32 | $19.95 | $47.86 |
CareSource Setting Facility Modifier None Typical Low $16.98 Median $20.42 Typical High $23.99 | Facility | None | $16.98 | $20.42 | $23.99 |
CareSource Setting Professional Modifier None Typical Low $16.98 Median $21.38 Typical High $33.88 | Professional | None | $16.98 | $21.38 | $33.88 |
Cigna Setting Facility Modifier None Typical Low $13.18 Median $30.90 Typical High $36.31 | Facility | None | $13.18 | $30.90 | $36.31 |
Cigna Setting Professional Modifier None Typical Low $17.78 Median $57.54 Typical High $104.71 | Professional | None | $17.78 | $57.54 | $104.71 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
United Setting Professional Modifier None Typical Low $4.27 Median $13.49 Typical High $24.55 | Professional | None | $4.27 | $13.49 | $24.55 |
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 $4.27 Median $7.08 Typical High $8.51 | Professional | 52 · Reduced service | $4.27 | $7.08 | $8.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.70 Median $2.88 Typical High $3.39 | Professional | 53 · Discontinued | $1.70 | $2.88 | $3.39 |
Where Kentucky sits
The same service costs 3.7 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· 23rd of 51
$19.50
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.