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 $3.31 Median $20.42 Typical High $21.38 | Facility | None | $3.31 | $20.42 | $21.38 |
Aetna Setting Professional Modifier None Typical Low $3.31 Median $21.38 Typical High $25.12 | Professional | None | $3.31 | $21.38 | $25.12 |
Anthem BCBS Setting Facility Modifier None Typical Low $15.85 Median $25.12 Typical High $26.30 | Facility | None | $15.85 | $25.12 | $26.30 |
Anthem BCBS Setting Professional Modifier None Typical Low $14.79 Median $19.95 Typical High $32.36 | Professional | None | $14.79 | $19.95 | $32.36 |
CareSource Setting Facility Modifier None Typical Low $25.12 Median $30.20 Typical High $35.48 | Facility | None | $25.12 | $30.20 | $35.48 |
CareSource Setting Professional Modifier None Typical Low $25.12 Median $31.62 Typical High $50.12 | Professional | None | $25.12 | $31.62 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $19.50 Median $50.12 Typical High $53.70 | Facility | None | $19.50 | $50.12 | $53.70 |
Cigna Setting Professional Modifier None Typical Low $12.02 Median $154.88 Typical High $154.88 | Professional | None | $12.02 | $154.88 | $154.88 |
United Setting Professional Modifier None Typical Low $8.32 Median $19.95 Typical High $32.36 | Professional | None | $8.32 | $19.95 | $32.36 |
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 $1.66 Median $10.47 Typical High $12.59 | Professional | 52 · Reduced service | $1.66 | $10.47 | $12.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.68 Median $4.27 Typical High $5.01 | Professional | 53 · Discontinued | $0.68 | $4.27 | $5.01 |
Where Kentucky sits
The same service costs 3.5 times more in Kansas than in Alabama. 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· 41st of 51
$20.42
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.