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 $3.39 Median $12.30 Typical High $19.95 | Facility | None | $3.39 | $12.30 | $19.95 |
Aetna Setting Professional Modifier None Typical Low $3.39 Median $12.30 Typical High $14.45 | Professional | None | $3.39 | $12.30 | $14.45 |
Ambetter Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $9.33 | Professional | None | $9.33 | $9.33 | $9.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $9.33 Median $15.14 Typical High $15.85 | Facility | None | $9.33 | $15.14 | $15.85 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.41 Median $12.88 Typical High $20.89 | Professional | None | $7.41 | $12.88 | $20.89 |
CareSource Setting Facility Modifier None Typical Low $15.14 Median $18.20 Typical High $20.89 | Facility | None | $15.14 | $18.20 | $20.89 |
CareSource Setting Professional Modifier None Typical Low $15.14 Median $18.62 Typical High $30.20 | Professional | None | $15.14 | $18.62 | $30.20 |
Cigna Setting Facility Modifier None Typical Low $11.75 Median $36.31 Typical High $36.31 | Facility | None | $11.75 | $36.31 | $36.31 |
Cigna Setting Professional Modifier None Typical Low $7.59 Median $97.72 Typical High $97.72 | Professional | None | $7.59 | $97.72 | $97.72 |
United Setting Professional Modifier None Typical Low $6.31 Median $12.59 Typical High $20.89 | Professional | None | $6.31 | $12.59 | $20.89 |
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 $1.70 Median $6.31 Typical High $7.59 | Professional | 52 · Reduced service | $1.70 | $6.31 | $7.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.68 Median $2.51 Typical High $3.02 | Professional | 53 · Discontinued | $0.68 | $2.51 | $3.02 |
Where Kentucky sits
The same service costs 3.0 times more in Alaska than in Tennessee. 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
$12.88
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.