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 $5.75 Median $15.49 Typical High $15.85 | Facility | None | $5.75 | $15.49 | $15.85 |
Aetna Setting Professional Modifier None Typical Low $5.75 Median $15.85 Typical High $19.05 | Professional | None | $5.75 | $15.85 | $19.05 |
Anthem BCBS Setting Facility Modifier None Typical Low $11.75 Median $19.05 Typical High $19.95 | Facility | None | $11.75 | $19.05 | $19.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.33 Median $16.22 Typical High $26.30 | Professional | None | $9.33 | $16.22 | $26.30 |
CareSource Setting Facility Modifier None Typical Low $19.05 Median $22.91 Typical High $26.30 | Facility | None | $19.05 | $22.91 | $26.30 |
CareSource Setting Professional Modifier None Typical Low $19.05 Median $23.44 Typical High $38.02 | Professional | None | $19.05 | $23.44 | $38.02 |
Cigna Setting Facility Modifier None Typical Low $14.79 Median $35.48 Typical High $39.81 | Facility | None | $14.79 | $35.48 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $9.55 Median $125.89 Typical High $125.89 | Professional | None | $9.55 | $125.89 | $125.89 |
United Setting Professional Modifier None Typical Low $7.94 Median $15.85 Typical High $26.30 | Professional | None | $7.94 | $15.85 | $26.30 |
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 $2.88 Median $7.94 Typical High $9.55 | Professional | 52 · Reduced service | $2.88 | $7.94 | $9.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.15 Median $3.16 Typical High $3.80 | Professional | 53 · Discontinued | $1.15 | $3.16 | $3.80 |
Where Kentucky sits
The same service costs 5.4 times more in Alaska 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· 36th of 51
$16.22
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.