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 $7.94 Median $7.94 Typical High $8.13 | Facility | None | $7.94 | $7.94 | $8.13 |
Aetna Setting Professional Modifier None Typical Low $7.94 Median $8.13 Typical High $9.77 | Professional | None | $7.94 | $8.13 | $9.77 |
Anthem BCBS Setting Facility Modifier None Typical Low $6.03 Median $9.77 Typical High $10.23 | Facility | None | $6.03 | $9.77 | $10.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.27 Median $7.24 Typical High $12.02 | Professional | None | $4.27 | $7.24 | $12.02 |
CareSource Setting Facility Modifier None Typical Low $9.77 Median $11.75 Typical High $13.49 | Facility | None | $9.77 | $11.75 | $13.49 |
CareSource Setting Professional Modifier None Typical Low $9.77 Median $12.30 Typical High $19.50 | Professional | None | $9.77 | $12.30 | $19.50 |
Cigna Setting Facility Modifier None Typical Low $7.59 Median $50.12 Typical High $50.12 | Facility | None | $7.59 | $50.12 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $4.47 Median $57.54 Typical High $57.54 | Professional | None | $4.47 | $57.54 | $57.54 |
United Setting Professional Modifier None Typical Low $4.07 Median $7.24 Typical High $12.02 | Professional | None | $4.07 | $7.24 | $12.02 |
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 $3.98 Median $4.07 Typical High $4.90 | Professional | 52 · Reduced service | $3.98 | $4.07 | $4.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.58 Median $1.62 Typical High $1.95 | Professional | 53 · Discontinued | $1.58 | $1.62 | $1.95 |
Where Kentucky sits
The same service costs 3.6 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· 48th of 51
$7.24
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.