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 $6.03 Median $6.61 Typical High $6.76 | Facility | None | $6.03 | $6.61 | $6.76 |
Aetna Setting Professional Modifier None Typical Low $6.03 Median $6.76 Typical High $8.13 | Professional | None | $6.03 | $6.76 | $8.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $5.01 Median $8.13 Typical High $8.51 | Facility | None | $5.01 | $8.13 | $8.51 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.17 Median $5.75 Typical High $9.33 | Professional | None | $4.17 | $5.75 | $9.33 |
CareSource Setting Facility Modifier None Typical Low $8.13 Median $9.77 Typical High $11.22 | Facility | None | $8.13 | $9.77 | $11.22 |
CareSource Setting Professional Modifier None Typical Low $8.13 Median $10.00 Typical High $16.22 | Professional | None | $8.13 | $10.00 | $16.22 |
Cigna Setting Facility Modifier None Typical Low $6.31 Median $50.12 Typical High $50.12 | Facility | None | $6.31 | $50.12 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $3.63 Median $38.90 Typical High $38.90 | Professional | None | $3.63 | $38.90 | $38.90 |
United Setting Professional Modifier None Typical Low $3.39 Median $5.62 Typical High $9.33 | Professional | None | $3.39 | $5.62 | $9.33 |
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 $3.02 Median $3.39 Typical High $4.07 | Professional | 52 · Reduced service | $3.02 | $3.39 | $4.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.20 Median $1.35 Typical High $1.62 | Professional | 53 · Discontinued | $1.20 | $1.35 | $1.62 |
Where Kentucky sits
The same service costs 4.3 times more in Kansas than in Nebraska. 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· 46th of 51
$6.03
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.