How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $6.46 Median $14.79 Typical High $21.88 | Facility | None | $6.46 | $14.79 | $21.88 |
Aetna Setting Professional Modifier None Typical Low $6.46 Median $15.14 Typical High $17.78 | Professional | None | $6.46 | $15.14 | $17.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $11.22 Median $17.78 Typical High $19.05 | Facility | None | $11.22 | $17.78 | $19.05 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.91 Median $13.80 Typical High $25.12 | Professional | None | $8.91 | $13.80 | $25.12 |
CareSource Setting Facility Modifier None Typical Low $17.78 Median $21.38 Typical High $25.12 | Facility | None | $17.78 | $21.38 | $25.12 |
CareSource Setting Professional Modifier None Typical Low $17.78 Median $22.39 Typical High $36.31 | Professional | None | $17.78 | $22.39 | $36.31 |
Cigna Setting Facility Modifier None Typical Low $14.13 Median $33.88 Typical High $38.02 | Facility | None | $14.13 | $33.88 | $38.02 |
Cigna Setting Professional Modifier None Typical Low $9.12 Median $120.23 Typical High $120.23 | Professional | None | $9.12 | $120.23 | $120.23 |
United Setting Professional Modifier None Typical Low $5.89 Median $15.14 Typical High $24.55 | Professional | None | $5.89 | $15.14 | $24.55 |
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 $3.24 Median $7.59 Typical High $8.91 | Professional | 52 · Reduced service | $3.24 | $7.59 | $8.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.29 Median $3.02 Typical High $3.63 | Professional | 53 · Discontinued | $1.29 | $3.02 | $3.63 |
Where Kentucky sits
The same service costs 6.2 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
$15.14
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.