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 $5.50 Median $5.75 Typical High $6.76 | Facility | None | $5.50 | $5.75 | $6.76 |
Aetna Setting Professional Modifier None Typical Low $5.50 Median $5.75 Typical High $6.76 | Professional | None | $5.50 | $5.75 | $6.76 |
Anthem BCBS Setting Facility Modifier None Typical Low $4.27 Median $6.76 Typical High $7.24 | Facility | None | $4.27 | $6.76 | $7.24 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.27 Median $5.75 Typical High $9.55 | Professional | None | $4.27 | $5.75 | $9.55 |
CareSource Setting Facility Modifier None Typical Low $6.76 Median $8.13 Typical High $9.55 | Facility | None | $6.76 | $8.13 | $9.55 |
CareSource Setting Professional Modifier None Typical Low $6.76 Median $8.51 Typical High $13.49 | Professional | None | $6.76 | $8.51 | $13.49 |
Cigna Setting Facility Modifier None Typical Low $5.37 Median $50.12 Typical High $50.12 | Facility | None | $5.37 | $50.12 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $3.47 Median $45.71 Typical High $45.71 | Professional | None | $3.47 | $45.71 | $45.71 |
United Setting Professional Modifier None Typical Low $2.24 Median $5.75 Typical High $9.33 | Professional | None | $2.24 | $5.75 | $9.33 |
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 $2.75 Median $2.88 Typical High $3.39 | Professional | 52 · Reduced service | $2.75 | $2.88 | $3.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.10 Median $1.15 Typical High $1.35 | Professional | 53 · Discontinued | $1.10 | $1.15 | $1.35 |
Where Kentucky sits
The same service costs 3.3 times more in Kansas than in Delaware. 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· 35th of 51
$5.75
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.