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 $3.16 Median $3.31 Typical High $4.47 | Facility | None | $3.16 | $3.31 | $4.47 |
Aetna Setting Professional Modifier None Typical Low $3.16 Median $3.31 Typical High $4.47 | Professional | None | $3.16 | $3.31 | $4.47 |
Anthem BCBS Setting Facility Modifier None Typical Low $2.45 Median $3.98 Typical High $4.17 | Facility | None | $2.45 | $3.98 | $4.17 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.95 Median $3.39 Typical High $5.50 | Professional | None | $1.95 | $3.39 | $5.50 |
CareSource Setting Facility Modifier None Typical Low $3.98 Median $4.68 Typical High $5.50 | Facility | None | $3.98 | $4.68 | $5.50 |
CareSource Setting Professional Modifier None Typical Low $3.98 Median $4.90 Typical High $7.94 | Professional | None | $3.98 | $4.90 | $7.94 |
Cigna Setting Facility Modifier None Typical Low $3.09 Median $7.41 Typical High $8.32 | Facility | None | $3.09 | $7.41 | $8.32 |
Cigna Setting Professional Modifier None Typical Low $2.00 Median $28.18 Typical High $28.18 | Professional | None | $2.00 | $28.18 | $28.18 |
United Setting Professional Modifier None Typical Low $1.66 Median $3.31 Typical High $5.50 | Professional | None | $1.66 | $3.31 | $5.50 |
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 $1.58 Median $1.66 Typical High $2.24 | Professional | 52 · Reduced service | $1.58 | $1.66 | $2.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.65 Median $0.66 Typical High $0.89 | Professional | 53 · Discontinued | $0.65 | $0.66 | $0.89 |
Where Kentucky sits
The same service costs 3.4 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· 38th of 51
$3.39
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.