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 $10.72 Median $22.39 Typical High $35.48 | Facility | None | $10.72 | $22.39 | $35.48 |
Aetna Setting Professional Modifier None Typical Low $10.72 Median $21.38 Typical High $26.92 | Professional | None | $10.72 | $21.38 | $26.92 |
Anthem BCBS Setting Facility Modifier None Typical Low $16.60 Median $26.92 Typical High $28.18 | Facility | None | $16.60 | $26.92 | $28.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.72 Median $15.14 Typical High $24.55 | Professional | None | $10.72 | $15.14 | $24.55 |
CareSource Setting Facility Modifier None Typical Low $26.92 Median $32.36 Typical High $37.15 | Facility | None | $26.92 | $32.36 | $37.15 |
CareSource Setting Professional Modifier None Typical Low $26.92 Median $33.11 Typical High $53.70 | Professional | None | $26.92 | $33.11 | $53.70 |
Cigna Setting Facility Modifier None Typical Low $20.89 Median $38.90 Typical High $56.23 | Facility | None | $20.89 | $38.90 | $56.23 |
Cigna Setting Professional Modifier None Typical Low $12.02 Median $128.82 Typical High $128.82 | Professional | None | $12.02 | $128.82 | $128.82 |
United Setting Professional Modifier None Typical Low $11.22 Median $15.14 Typical High $29.51 | Professional | None | $11.22 | $15.14 | $29.51 |
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 $5.37 Median $11.22 Typical High $13.49 | Professional | 52 · Reduced service | $5.37 | $11.22 | $13.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.14 Median $4.47 Typical High $5.37 | Professional | 53 · Discontinued | $2.14 | $4.47 | $5.37 |
Where Kentucky sits
The same service costs 3.8 times more in Alaska than in Kentucky. 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· 51st of 51
$15.85
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.