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 $8.13 Typical High $8.51 | Facility | None | $6.61 | $8.13 | $8.51 |
Aetna Setting Professional Modifier None Typical Low $6.61 Median $8.51 Typical High $10.00 | Professional | None | $6.61 | $8.51 | $10.00 |
Anthem BCBS Setting Facility Modifier None Typical Low $6.31 Median $10.00 Typical High $10.72 | Facility | None | $6.31 | $10.00 | $10.72 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.07 Median $5.25 Typical High $8.51 | Professional | None | $4.07 | $5.25 | $8.51 |
CareSource Setting Facility Modifier None Typical Low $10.00 Median $12.02 Typical High $14.13 | Facility | None | $10.00 | $12.02 | $14.13 |
CareSource Setting Professional Modifier None Typical Low $10.00 Median $12.59 Typical High $19.95 | Professional | None | $10.00 | $12.59 | $19.95 |
Cigna Setting Facility Modifier None Typical Low $7.76 Median $14.79 Typical High $21.38 | Facility | None | $7.76 | $14.79 | $21.38 |
Cigna Setting Professional Modifier None Typical Low $4.57 Median $48.98 Typical High $48.98 | Professional | None | $4.57 | $48.98 | $48.98 |
United Setting Professional Modifier None Typical Low $4.27 Median $5.25 Typical High $10.72 | Professional | None | $4.27 | $5.25 | $10.72 |
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 $4.27 Typical High $5.01 | Professional | 52 · Reduced service | $3.31 | $4.27 | $5.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.32 Median $1.70 Typical High $2.04 | Professional | 53 · Discontinued | $1.32 | $1.70 | $2.04 |
Where Kentucky sits
The same service costs 5.4 times more in Kansas than in Kentucky. 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· 51st of 51
$6.46
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.