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 $7.76 Median $9.33 Typical High $9.77 | Facility | None | $7.76 | $9.33 | $9.77 |
Aetna Setting Professional Modifier None Typical Low $7.76 Median $9.77 Typical High $11.75 | Professional | None | $7.76 | $9.77 | $11.75 |
Ambetter Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $7.08 | Professional | None | $7.08 | $7.08 | $7.08 |
Anthem BCBS Setting Facility Modifier None Typical Low $7.24 Median $11.75 Typical High $12.30 | Facility | None | $7.24 | $11.75 | $12.30 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.24 Median $10.00 Typical High $16.22 | Professional | None | $7.24 | $10.00 | $16.22 |
CareSource Setting Facility Modifier None Typical Low $11.75 Median $13.80 Typical High $16.22 | Facility | None | $11.75 | $13.80 | $16.22 |
CareSource Setting Professional Modifier None Typical Low $11.75 Median $14.45 Typical High $23.44 | Professional | None | $11.75 | $14.45 | $23.44 |
Cigna Setting Facility Modifier None Typical Low $9.12 Median $50.12 Typical High $50.12 | Facility | None | $9.12 | $50.12 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $5.89 Median $60.26 Typical High $60.26 | Professional | None | $5.89 | $60.26 | $60.26 |
United Setting Professional Modifier None Typical Low $4.90 Median $9.77 Typical High $15.85 | Professional | None | $4.90 | $9.77 | $15.85 |
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 $3.89 Median $4.90 Typical High $5.75 | Professional | 52 · Reduced service | $3.89 | $4.90 | $5.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.58 Median $1.95 Typical High $2.34 | Professional | 53 · Discontinued | $1.58 | $1.95 | $2.34 |
Where Kentucky sits
The same service costs 5.0 times more in Kansas than in Texas. 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· 35th of 51
$10.00
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.