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 $8.51 Median $28.18 Typical High $64.57 | Facility | None | $8.51 | $28.18 | $64.57 |
Aetna Setting Professional Modifier None Typical Low $8.51 Median $28.18 Typical High $33.88 | Professional | None | $8.51 | $28.18 | $33.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $20.89 Median $33.88 Typical High $35.48 | Facility | None | $20.89 | $33.88 | $35.48 |
Anthem BCBS Setting Professional Modifier None Typical Low $16.60 Median $28.84 Typical High $46.77 | Professional | None | $16.60 | $28.84 | $46.77 |
CareSource Setting Facility Modifier None Typical Low $33.88 Median $40.74 Typical High $47.86 | Facility | None | $33.88 | $40.74 | $47.86 |
CareSource Setting Professional Modifier None Typical Low $33.88 Median $42.66 Typical High $67.61 | Professional | None | $33.88 | $42.66 | $67.61 |
Cigna Setting Facility Modifier None Typical Low $26.30 Median $61.66 Typical High $72.44 | Facility | None | $26.30 | $61.66 | $72.44 |
Cigna Setting Professional Modifier None Typical Low $16.98 Median $223.87 Typical High $223.87 | Professional | None | $16.98 | $223.87 | $223.87 |
United Setting Professional Modifier None Typical Low $13.80 Median $28.18 Typical High $46.77 | Professional | None | $13.80 | $28.18 | $46.77 |
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 $4.27 Median $14.13 Typical High $16.98 | Professional | 52 · Reduced service | $4.27 | $14.13 | $16.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.70 Median $5.75 Typical High $6.76 | Professional | 53 · Discontinued | $1.70 | $5.75 | $6.76 |
Where Kentucky sits
The same service costs 4.4 times more in Kansas than in Alabama. 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
$28.84
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.