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 $2.45 Median $3.80 Typical High $3.98 | Facility | None | $2.45 | $3.80 | $3.98 |
Aetna Setting Professional Modifier None Typical Low $2.45 Median $3.98 Typical High $4.68 | Professional | None | $2.45 | $3.98 | $4.68 |
Anthem BCBS Setting Facility Modifier None Typical Low $2.95 Median $4.68 Typical High $4.90 | Facility | None | $2.95 | $4.68 | $4.90 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.69 Median $3.63 Typical High $6.03 | Professional | None | $2.69 | $3.63 | $6.03 |
CareSource Setting Facility Modifier None Typical Low $4.68 Median $5.62 Typical High $6.61 | Facility | None | $4.68 | $5.62 | $6.61 |
CareSource Setting Professional Modifier None Typical Low $4.68 Median $5.89 Typical High $9.33 | Professional | None | $4.68 | $5.89 | $9.33 |
Cigna Setting Facility Modifier None Typical Low $3.63 Median $8.13 Typical High $10.72 | Facility | None | $3.63 | $8.13 | $10.72 |
Cigna Setting Professional Modifier None Typical Low $2.14 Median $37.15 Typical High $37.15 | Professional | None | $2.14 | $37.15 | $37.15 |
United Setting Professional Modifier None Typical Low $1.95 Median $3.63 Typical High $6.03 | Professional | None | $1.95 | $3.63 | $6.03 |
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 $1.23 Median $1.95 Typical High $2.34 | Professional | 52 · Reduced service | $1.23 | $1.95 | $2.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.49 Median $0.79 Typical High $0.93 | Professional | 53 · Discontinued | $0.49 | $0.79 | $0.93 |
Where Kentucky sits
The same service costs 4.3 times more in Kansas than in Nebraska. 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· 38th of 51
$3.80
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.