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 $6.46 Median $10.47 Typical High $10.96 | Facility | None | $6.46 | $10.47 | $10.96 |
Aetna Setting Professional Modifier None Typical Low $6.46 Median $10.72 Typical High $12.88 | Professional | None | $6.46 | $10.72 | $12.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $7.94 Median $12.88 Typical High $13.49 | Facility | None | $7.94 | $12.88 | $13.49 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.89 Median $7.41 Typical High $12.02 | Professional | None | $5.89 | $7.41 | $12.02 |
CareSource Setting Facility Modifier None Typical Low $12.88 Median $15.49 Typical High $18.20 | Facility | None | $12.88 | $15.49 | $18.20 |
CareSource Setting Professional Modifier None Typical Low $12.88 Median $16.22 Typical High $25.70 | Professional | None | $12.88 | $16.22 | $25.70 |
Cigna Setting Facility Modifier None Typical Low $10.00 Median $21.38 Typical High $30.20 | Facility | None | $10.00 | $21.38 | $30.20 |
Cigna Setting Professional Modifier None Typical Low $5.89 Median $63.10 Typical High $63.10 | Professional | None | $5.89 | $63.10 | $63.10 |
United Setting Professional Modifier None Typical Low $5.37 Median $7.41 Typical High $14.45 | Professional | None | $5.37 | $7.41 | $14.45 |
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 $3.24 Median $5.37 Typical High $6.46 | Professional | 52 · Reduced service | $3.24 | $5.37 | $6.46 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.29 Median $2.19 Typical High $2.57 | Professional | 53 · Discontinued | $1.29 | $2.19 | $2.57 |
Where Kentucky sits
The same service costs 4.2 times more in Kansas than in Texas. 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· 50th of 51
$8.32
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.