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 $3.98 Median $6.31 Typical High $6.61 | Facility | None | $3.98 | $6.31 | $6.61 |
Aetna Setting Professional Modifier None Typical Low $3.98 Median $6.31 Typical High $7.59 | Professional | None | $3.98 | $6.31 | $7.59 |
Anthem BCBS Setting Facility Modifier None Typical Low $4.90 Median $7.76 Typical High $8.13 | Facility | None | $4.90 | $7.76 | $8.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.63 Median $4.47 Typical High $7.24 | Professional | None | $2.63 | $4.47 | $7.24 |
CareSource Setting Facility Modifier None Typical Low $7.76 Median $9.33 Typical High $10.96 | Facility | None | $7.76 | $9.33 | $10.96 |
CareSource Setting Professional Modifier None Typical Low $7.76 Median $8.91 Typical High $12.88 | Professional | None | $7.76 | $8.91 | $12.88 |
Cigna Setting Facility Modifier None Typical Low $6.03 Median $12.30 Typical High $16.60 | Facility | None | $6.03 | $12.30 | $16.60 |
Cigna Setting Professional Modifier None Typical Low $3.47 Median $38.02 Typical High $38.02 | Professional | None | $3.47 | $38.02 | $38.02 |
United Setting Professional Modifier None Typical Low $3.31 Median $4.37 Typical High $8.51 | Professional | None | $3.31 | $4.37 | $8.51 |
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 $2.00 Median $3.31 Typical High $3.89 | Professional | 52 · Reduced service | $2.00 | $3.31 | $3.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.79 Median $1.32 Typical High $1.55 | Professional | 53 · Discontinued | $0.79 | $1.32 | $1.55 |
Where Kentucky sits
The same service costs 3.5 times more in Alaska than in Kentucky. 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· 51st of 51
$5.13
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.