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 $12.02 Median $30.90 Typical High $40.74 | Facility | None | $12.02 | $30.90 | $40.74 |
Aetna Setting Professional Modifier None Typical Low $12.02 Median $30.90 Typical High $38.02 | Professional | None | $12.02 | $30.90 | $38.02 |
Anthem BCBS Setting Facility Modifier None Typical Low $23.44 Median $38.02 Typical High $39.81 | Facility | None | $23.44 | $38.02 | $39.81 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.79 Median $4.79 Typical High $12.02 | Professional | None | $4.79 | $4.79 | $12.02 |
CareSource Setting Facility Modifier None Typical Low $38.02 Median $45.71 Typical High $52.48 | Facility | None | $38.02 | $45.71 | $52.48 |
CareSource Setting Professional Modifier None Typical Low $38.02 Median $46.77 Typical High $75.86 | Professional | None | $38.02 | $46.77 | $75.86 |
Cigna Setting Facility Modifier None Typical Low $29.51 Median $54.95 Typical High $79.43 | Facility | None | $29.51 | $54.95 | $79.43 |
Cigna Setting Professional Modifier None Typical Low $13.18 Median $181.97 Typical High $181.97 | Professional | None | $13.18 | $181.97 | $181.97 |
United Setting Professional Modifier None Typical Low $6.31 Median $7.24 Typical High $18.20 | Professional | None | $6.31 | $7.24 | $18.20 |
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 $6.03 Median $15.14 Typical High $15.85 | Professional | 52 · Reduced service | $6.03 | $15.14 | $15.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.40 Median $6.17 Typical High $6.31 | Professional | 53 · Discontinued | $2.40 | $6.17 | $6.31 |
Where Kentucky sits
The same service costs 10.0 times more in Alaska than in New Jersey. 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· 50th of 51
$9.33
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.