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 $6.92 Median $7.24 Typical High $7.94 | Facility | None | $6.92 | $7.24 | $7.94 |
Aetna Setting Professional Modifier None Typical Low $6.92 Median $7.24 Typical High $8.51 | Professional | None | $6.92 | $7.24 | $8.51 |
Anthem BCBS Setting Facility Modifier None Typical Low $5.37 Median $8.51 Typical High $9.12 | Facility | None | $5.37 | $8.51 | $9.12 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.27 Median $7.24 Typical High $12.02 | Professional | None | $4.27 | $7.24 | $12.02 |
CareSource Setting Facility Modifier None Typical Low $8.51 Median $10.23 Typical High $12.02 | Facility | None | $8.51 | $10.23 | $12.02 |
CareSource Setting Professional Modifier None Typical Low $8.51 Median $10.72 Typical High $17.38 | Professional | None | $8.51 | $10.72 | $17.38 |
Cigna Setting Facility Modifier None Typical Low $6.76 Median $16.22 Typical High $18.20 | Facility | None | $6.76 | $16.22 | $18.20 |
Cigna Setting Professional Modifier None Typical Low $4.27 Median $57.54 Typical High $57.54 | Professional | None | $4.27 | $57.54 | $57.54 |
United Setting Professional Modifier None Typical Low $3.63 Median $7.24 Typical High $12.02 | Professional | None | $3.63 | $7.24 | $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 $3.47 Median $3.63 Typical High $4.27 | Professional | 52 · Reduced service | $3.47 | $3.63 | $4.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.38 Median $1.45 Typical High $1.74 | Professional | 53 · Discontinued | $1.38 | $1.45 | $1.74 |
Where Kentucky sits
The same service costs 4.1 times more in Kansas than in Maryland. 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
$7.24
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.