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 $3.80 Median $4.07 Typical High $4.27 | Facility | None | $3.80 | $4.07 | $4.27 |
Aetna Setting Professional Modifier None Typical Low $3.80 Median $4.27 Typical High $5.13 | Professional | None | $3.80 | $4.27 | $5.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.16 Median $5.13 Typical High $5.37 | Facility | None | $3.16 | $5.13 | $5.37 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.34 Median $3.89 Typical High $6.61 | Professional | None | $2.34 | $3.89 | $6.61 |
CareSource Setting Facility Modifier None Typical Low $5.13 Median $6.17 Typical High $7.24 | Facility | None | $5.13 | $6.17 | $7.24 |
CareSource Setting Professional Modifier None Typical Low $5.13 Median $5.89 Typical High $8.32 | Professional | None | $5.13 | $5.89 | $8.32 |
Cigna Setting Facility Modifier None Typical Low $3.98 Median $8.71 Typical High $10.72 | Facility | None | $3.98 | $8.71 | $10.72 |
Cigna Setting Professional Modifier None Typical Low $2.45 Median $32.36 Typical High $32.36 | Professional | None | $2.45 | $32.36 | $32.36 |
United Setting Professional Modifier None Typical Low $2.09 Median $3.98 Typical High $6.46 | Professional | None | $2.09 | $3.98 | $6.46 |
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 $1.91 Median $2.14 Typical High $2.51 | Professional | 52 · Reduced service | $1.91 | $2.14 | $2.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.76 Median $0.85 Typical High $1.02 | Professional | 53 · Discontinued | $0.76 | $0.85 | $1.02 |
Where Kentucky sits
The same service costs 3.5 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· 42nd of 51
$4.07
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.