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 $1.62 Median $13.18 Typical High $13.80 | Facility | None | $1.62 | $13.18 | $13.80 |
Aetna Setting Professional Modifier None Typical Low $1.62 Median $13.80 Typical High $16.22 | Professional | None | $1.62 | $13.80 | $16.22 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.23 Median $16.22 Typical High $16.98 | Facility | None | $10.23 | $16.22 | $16.98 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.45 Median $2.63 Typical High $6.46 | Professional | None | $2.45 | $2.63 | $6.46 |
CareSource Setting Facility Modifier None Typical Low $16.22 Median $19.50 Typical High $22.91 | Facility | None | $16.22 | $19.50 | $22.91 |
CareSource Setting Professional Modifier None Typical Low $16.22 Median $20.42 Typical High $32.36 | Professional | None | $16.22 | $20.42 | $32.36 |
Cigna Setting Facility Modifier None Typical Low $12.59 Median $23.99 Typical High $34.67 | Facility | None | $12.59 | $23.99 | $34.67 |
Cigna Setting Professional Modifier None Typical Low $2.51 Median $79.43 Typical High $79.43 | Professional | None | $2.51 | $79.43 | $79.43 |
United Setting Professional Modifier None Typical Low $2.45 Median $5.01 Typical High $16.22 | Professional | None | $2.45 | $5.01 | $16.22 |
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 $0.81 Median $6.92 Typical High $8.13 | Professional | 52 · Reduced service | $0.81 | $6.92 | $8.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.32 Median $2.75 Typical High $3.24 | Professional | 53 · Discontinued | $0.32 | $2.75 | $3.24 |
Where Kentucky sits
The same service costs 8.9 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
$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.