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 $8.32 Median $8.51 Typical High $8.71 | Facility | None | $8.32 | $8.51 | $8.71 |
Aetna Setting Professional Modifier None Typical Low $8.13 Median $8.51 Typical High $10.23 | Professional | None | $8.13 | $8.51 | $10.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $6.31 Median $10.23 Typical High $10.72 | Facility | None | $6.31 | $10.23 | $10.72 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.31 Median $8.71 Typical High $14.13 | Professional | None | $6.31 | $8.71 | $14.13 |
CareSource Setting Facility Modifier None Typical Low $10.23 Median $12.30 Typical High $14.13 | Facility | None | $10.23 | $12.30 | $14.13 |
CareSource Setting Professional Modifier None Typical Low $10.23 Median $12.59 Typical High $20.42 | Professional | None | $10.23 | $12.59 | $20.42 |
Cigna Setting Facility Modifier None Typical Low $7.94 Median $19.05 Typical High $21.38 | Facility | None | $7.94 | $19.05 | $21.38 |
Cigna Setting Professional Modifier None Typical Low $5.13 Median $102.33 Typical High $102.33 | Professional | None | $5.13 | $102.33 | $102.33 |
United Setting Professional Modifier None Typical Low $4.07 Median $8.51 Typical High $14.13 | Professional | None | $4.07 | $8.51 | $14.13 |
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 $4.17 Median $4.27 Typical High $5.13 | Professional | 52 · Reduced service | $4.17 | $4.27 | $5.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.66 Median $1.70 Typical High $2.04 | Professional | 53 · Discontinued | $1.66 | $1.70 | $2.04 |
Where Kentucky sits
The same service costs 4.2 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· 34th of 51
$8.71
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.