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 $3.63 Typical High $3.72 | Facility | None | $1.95 | $3.63 | $3.72 |
Aetna Setting Professional Modifier None Typical Low $1.95 Median $3.72 Typical High $4.47 | Professional | None | $1.95 | $3.72 | $4.47 |
Anthem BCBS Setting Facility Modifier None Typical Low $2.75 Median $4.47 Typical High $4.68 | Facility | None | $2.75 | $4.47 | $4.68 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.91 Median $2.57 Typical High $4.17 | Professional | None | $1.91 | $2.57 | $4.17 |
CareSource Setting Facility Modifier None Typical Low $4.47 Median $5.37 Typical High $6.31 | Facility | None | $4.47 | $5.37 | $6.31 |
CareSource Setting Professional Modifier None Typical Low $4.47 Median $5.62 Typical High $8.91 | Professional | None | $4.47 | $5.62 | $8.91 |
Cigna Setting Facility Modifier None Typical Low $3.47 Median $50.12 Typical High $50.12 | Facility | None | $3.47 | $50.12 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $2.00 Median $21.38 Typical High $21.38 | Professional | None | $2.00 | $21.38 | $21.38 |
United Setting Professional Modifier None Typical Low $1.86 Median $2.63 Typical High $4.90 | Professional | None | $1.86 | $2.63 | $4.90 |
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 $1.86 Typical High $2.24 | Professional | 52 · Reduced service | $0.98 | $1.86 | $2.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.39 Median $0.76 Typical High $0.89 | Professional | 53 · Discontinued | $0.39 | $0.76 | $0.89 |
Where Kentucky sits
The same service costs 3.4 times more in Alaska 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
$2.95
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.