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 $3.24 Median $16.60 Typical High $16.98 | Facility | None | $3.24 | $16.60 | $16.98 |
Aetna Setting Professional Modifier None Typical Low $3.24 Median $16.98 Typical High $19.95 | Professional | None | $3.24 | $16.98 | $19.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $12.59 Median $20.42 Typical High $21.38 | Facility | None | $12.59 | $20.42 | $21.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.80 Median $4.07 Typical High $8.13 | Professional | None | $3.80 | $4.07 | $8.13 |
CareSource Setting Facility Modifier None Typical Low $20.42 Median $24.55 Typical High $28.84 | Facility | None | $20.42 | $24.55 | $28.84 |
CareSource Setting Professional Modifier None Typical Low $20.42 Median $25.70 Typical High $40.74 | Professional | None | $20.42 | $25.70 | $40.74 |
Cigna Setting Facility Modifier None Typical Low $15.85 Median $50.12 Typical High $50.12 | Facility | None | $15.85 | $50.12 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $3.16 Median $97.72 Typical High $97.72 | Professional | None | $3.16 | $97.72 | $97.72 |
United Setting Professional Modifier None Typical Low $3.80 Median $6.31 Typical High $20.42 | Professional | None | $3.80 | $6.31 | $20.42 |
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 $1.62 Median $8.51 Typical High $9.77 | Professional | 52 · Reduced service | $1.62 | $8.51 | $9.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.65 Median $3.39 Typical High $3.98 | Professional | 53 · Discontinued | $0.65 | $3.39 | $3.98 |
Where Kentucky sits
The same service costs 7.6 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
$6.03
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.