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 $3.98 Median $9.33 Typical High $9.77 | Facility | None | $3.98 | $9.33 | $9.77 |
Aetna Setting Professional Modifier None Typical Low $3.98 Median $9.77 Typical High $11.48 | Professional | None | $3.98 | $9.77 | $11.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $7.24 Median $11.48 Typical High $12.02 | Facility | None | $7.24 | $11.48 | $12.02 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.75 Median $8.91 Typical High $15.85 | Professional | None | $5.75 | $8.91 | $15.85 |
CareSource Setting Facility Modifier None Typical Low $11.48 Median $13.80 Typical High $16.22 | Facility | None | $11.48 | $13.80 | $16.22 |
CareSource Setting Professional Modifier None Typical Low $11.48 Median $14.45 Typical High $22.91 | Professional | None | $11.48 | $14.45 | $22.91 |
Cigna Setting Facility Modifier None Typical Low $8.91 Median $20.89 Typical High $24.55 | Facility | None | $8.91 | $20.89 | $24.55 |
Cigna Setting Professional Modifier None Typical Low $5.75 Median $54.95 Typical High $54.95 | Professional | None | $5.75 | $54.95 | $54.95 |
United Setting Professional Modifier None Typical Low $4.79 Median $9.55 Typical High $16.22 | Professional | None | $4.79 | $9.55 | $16.22 |
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 $2.00 Median $4.79 Typical High $5.75 | Professional | 52 · Reduced service | $2.00 | $4.79 | $5.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.79 Median $1.95 Typical High $2.29 | Professional | 53 · Discontinued | $0.79 | $1.95 | $2.29 |
Where Kentucky sits
The same service costs 4.8 times more in Kansas than in Nebraska. 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
$9.77
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.