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 $2.24 Median $31.62 Typical High $33.11 | Facility | None | $2.24 | $31.62 | $33.11 |
Aetna Setting Professional Modifier None Typical Low $2.24 Median $33.11 Typical High $38.90 | Professional | None | $2.24 | $33.11 | $38.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $24.55 Median $38.90 Typical High $40.74 | Facility | None | $24.55 | $38.90 | $40.74 |
Anthem BCBS Setting Professional Modifier None Typical Low $15.49 Median $16.60 Typical High $26.92 | Professional | None | $15.49 | $16.60 | $26.92 |
CareSource Setting Facility Modifier None Typical Low $38.90 Median $46.77 Typical High $54.95 | Facility | None | $38.90 | $46.77 | $54.95 |
CareSource Setting Professional Modifier None Typical Low $38.90 Median $48.98 Typical High $77.62 | Professional | None | $38.90 | $48.98 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $30.20 Median $57.54 Typical High $83.18 | Facility | None | $30.20 | $57.54 | $83.18 |
Cigna Setting Professional Modifier None Typical Low $13.49 Median $186.21 Typical High $186.21 | Professional | None | $13.49 | $186.21 | $186.21 |
United Setting Professional Modifier None Typical Low $15.14 Median $16.60 Typical High $38.90 | Professional | None | $15.14 | $16.60 | $38.90 |
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 $1.12 Median $16.22 Typical High $19.50 | Professional | 52 · Reduced service | $1.12 | $16.22 | $19.50 |
Where Kentucky sits
The same service costs 4.3 times more in Alaska than in Oklahoma. 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· 50th 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.