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 $6.03 Median $7.24 Typical High $7.41 | Facility | None | $6.03 | $7.24 | $7.41 |
Aetna Setting Professional Modifier None Typical Low $6.03 Median $7.41 Typical High $8.91 | Professional | None | $6.03 | $7.41 | $8.91 |
Anthem BCBS Setting Facility Modifier None Typical Low $5.50 Median $8.91 Typical High $9.33 | Facility | None | $5.50 | $8.91 | $9.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.50 Median $7.59 Typical High $12.30 | Professional | None | $5.50 | $7.59 | $12.30 |
CareSource Setting Facility Modifier None Typical Low $8.91 Median $10.72 Typical High $12.30 | Facility | None | $8.91 | $10.72 | $12.30 |
CareSource Setting Professional Modifier None Typical Low $8.91 Median $10.96 Typical High $17.78 | Professional | None | $8.91 | $10.96 | $17.78 |
Cigna Setting Facility Modifier None Typical Low $6.92 Median $50.12 Typical High $50.12 | Facility | None | $6.92 | $50.12 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $4.47 Median $58.88 Typical High $58.88 | Professional | None | $4.47 | $58.88 | $58.88 |
United Setting Professional Modifier None Typical Low $3.16 Median $7.41 Typical High $12.02 | Professional | None | $3.16 | $7.41 | $12.02 |
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 $3.02 Median $3.72 Typical High $4.47 | Professional | 52 · Reduced service | $3.02 | $3.72 | $4.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.20 Median $1.48 Typical High $1.78 | Professional | 53 · Discontinued | $1.20 | $1.48 | $1.78 |
Where Kentucky sits
The same service costs 7.1 times more in Kansas 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· 35th of 51
$7.59
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.