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 $6.46 Median $57.54 Typical High $60.26 | Facility | None | $6.46 | $57.54 | $60.26 |
Aetna Setting Professional Modifier None Typical Low $6.46 Median $60.26 Typical High $70.79 | Professional | None | $6.46 | $60.26 | $70.79 |
Anthem BCBS Setting Facility Modifier None Typical Low $44.67 Median $70.79 Typical High $74.13 | Facility | None | $44.67 | $70.79 | $74.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $28.18 Median $44.67 Typical High $72.44 | Professional | None | $28.18 | $44.67 | $72.44 |
CareSource Setting Facility Modifier None Typical Low $70.79 Median $85.11 Typical High $100.00 | Facility | None | $70.79 | $85.11 | $100.00 |
CareSource Setting Professional Modifier None Typical Low $70.79 Median $89.13 Typical High $141.25 | Professional | None | $70.79 | $89.13 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $104.71 Typical High $151.36 | Facility | None | $54.95 | $104.71 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $346.74 Typical High $346.74 | Professional | None | $32.36 | $346.74 | $346.74 |
United Setting Professional Modifier None Typical Low $30.20 Median $43.65 Typical High $77.62 | Professional | None | $30.20 | $43.65 | $77.62 |
1 more rate 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 $3.24 Median $30.20 Typical High $35.48 | Professional | 52 · Reduced service | $3.24 | $30.20 | $35.48 |
Where Kentucky sits
The same service costs 3.5 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
$44.67
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.