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 $6.61 Median $6.76 Typical High $15.49 | Facility | None | $6.61 | $6.76 | $15.49 |
Aetna Setting Professional Modifier None Typical Low $6.46 Median $6.76 Typical High $8.13 | Professional | None | $6.46 | $6.76 | $8.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $5.01 Median $8.13 Typical High $8.51 | Facility | None | $5.01 | $8.13 | $8.51 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.47 Median $5.89 Typical High $9.77 | Professional | None | $3.47 | $5.89 | $9.77 |
CareSource Setting Facility Modifier None Typical Low $8.13 Median $9.77 Typical High $11.22 | Facility | None | $8.13 | $9.77 | $11.22 |
CareSource Setting Professional Modifier None Typical Low $8.13 Median $9.33 Typical High $13.49 | Professional | None | $8.13 | $9.33 | $13.49 |
Cigna Setting Facility Modifier None Typical Low $6.31 Median $12.59 Typical High $17.38 | Facility | None | $6.31 | $12.59 | $17.38 |
Cigna Setting Professional Modifier None Typical Low $3.63 Median $47.86 Typical High $47.86 | Professional | None | $3.63 | $47.86 | $47.86 |
United Setting Professional Modifier None Typical Low $3.16 Median $5.89 Typical High $9.77 | Professional | None | $3.16 | $5.89 | $9.77 |
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 $3.31 Median $3.39 Typical High $4.07 | Professional | 52 · Reduced service | $3.31 | $3.39 | $4.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.32 Median $1.35 Typical High $1.62 | Professional | 53 · Discontinued | $1.32 | $1.35 | $1.62 |
Where Kentucky sits
The same service costs 8.3 times more in Kansas than in New Jersey. 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· 46th of 51
$6.17
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.