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 $12.30 Median $15.49 Typical High $34.67 | Facility | None | $12.30 | $15.49 | $34.67 |
Aetna Setting Professional Modifier None Typical Low $12.30 Median $15.49 Typical High $18.20 | Professional | None | $12.30 | $15.49 | $18.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $11.48 Median $18.20 Typical High $19.05 | Facility | None | $11.48 | $18.20 | $19.05 |
Anthem BCBS Setting Professional Modifier None Typical Low $11.48 Median $15.49 Typical High $25.12 | Professional | None | $11.48 | $15.49 | $25.12 |
CareSource Setting Facility Modifier None Typical Low $18.20 Median $21.88 Typical High $25.70 | Facility | None | $18.20 | $21.88 | $25.70 |
CareSource Setting Professional Modifier None Typical Low $18.20 Median $22.91 Typical High $36.31 | Professional | None | $18.20 | $22.91 | $36.31 |
Cigna Setting Facility Modifier None Typical Low $14.13 Median $33.11 Typical High $38.90 | Facility | None | $14.13 | $33.11 | $38.90 |
Cigna Setting Professional Modifier None Typical Low $9.33 Median $120.23 Typical High $120.23 | Professional | None | $9.33 | $120.23 | $120.23 |
United Setting Professional Modifier None Typical Low $6.03 Median $15.49 Typical High $25.12 | Professional | None | $6.03 | $15.49 | $25.12 |
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 $6.17 Median $7.76 Typical High $9.12 | Professional | 52 · Reduced service | $6.17 | $7.76 | $9.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.45 Median $3.09 Typical High $3.63 | Professional | 53 · Discontinued | $2.45 | $3.09 | $3.63 |
Where Kentucky sits
The same service costs 3.0 times more in Alaska than in Maryland. 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· 38th of 51
$15.49
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.