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 $1.95 Median $5.89 Typical High $6.03 | Facility | None | $1.95 | $5.89 | $6.03 |
Aetna Setting Professional Modifier None Typical Low $1.95 Median $6.03 Typical High $7.24 | Professional | None | $1.95 | $6.03 | $7.24 |
Anthem BCBS Setting Facility Modifier None Typical Low $4.47 Median $7.24 Typical High $7.59 | Facility | None | $4.47 | $7.24 | $7.59 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.68 Median $6.31 Typical High $10.47 | Professional | None | $4.68 | $6.31 | $10.47 |
CareSource Setting Facility Modifier None Typical Low $7.24 Median $8.71 Typical High $10.00 | Facility | None | $7.24 | $8.71 | $10.00 |
CareSource Setting Professional Modifier None Typical Low $7.24 Median $8.91 Typical High $14.45 | Professional | None | $7.24 | $8.91 | $14.45 |
Cigna Setting Facility Modifier None Typical Low $5.62 Median $13.49 Typical High $15.14 | Facility | None | $5.62 | $13.49 | $15.14 |
Cigna Setting Professional Modifier None Typical Low $3.63 Median $48.98 Typical High $48.98 | Professional | None | $3.63 | $48.98 | $48.98 |
United Setting Professional Modifier None Typical Low $3.02 Median $6.31 Typical High $12.30 | Professional | None | $3.02 | $6.31 | $12.30 |
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 $0.98 Median $3.02 Typical High $3.63 | Professional | 52 · Reduced service | $0.98 | $3.02 | $3.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.39 Median $1.20 Typical High $1.45 | Professional | 53 · Discontinued | $0.39 | $1.20 | $1.45 |
Where Kentucky sits
The same service costs 4.4 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· 37th of 51
$6.31
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.