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 $8.71 Median $9.12 Typical High $20.42 | Facility | None | $8.71 | $9.12 | $20.42 |
Aetna Setting Professional Modifier None Typical Low $8.71 Median $9.12 Typical High $12.30 | Professional | None | $8.71 | $9.12 | $12.30 |
Anthem BCBS Setting Facility Modifier None Typical Low $6.76 Median $10.72 Typical High $11.48 | Facility | None | $6.76 | $10.72 | $11.48 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.37 Median $9.12 Typical High $15.14 | Professional | None | $5.37 | $9.12 | $15.14 |
CareSource Setting Facility Modifier None Typical Low $10.72 Median $12.88 Typical High $15.14 | Facility | None | $10.72 | $12.88 | $15.14 |
CareSource Setting Professional Modifier None Typical Low $10.72 Median $13.49 Typical High $21.38 | Professional | None | $10.72 | $13.49 | $21.38 |
Cigna Setting Facility Modifier None Typical Low $8.32 Median $20.42 Typical High $22.91 | Facility | None | $8.32 | $20.42 | $22.91 |
Cigna Setting Professional Modifier None Typical Low $5.50 Median $85.11 Typical High $85.11 | Professional | None | $5.50 | $85.11 | $85.11 |
United Setting Professional Modifier None Typical Low $4.57 Median $9.12 Typical High $14.79 | Professional | None | $4.57 | $9.12 | $14.79 |
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 $4.37 Median $4.57 Typical High $6.17 | Professional | 52 · Reduced service | $4.37 | $4.57 | $6.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.74 Median $1.82 Typical High $2.45 | Professional | 53 · Discontinued | $1.74 | $1.82 | $2.45 |
Where Kentucky sits
The same service costs 4.9 times more in South Carolina 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
$9.12
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.