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 $9.33 Median $20.89 Typical High $21.38 | Facility | None | $9.33 | $20.89 | $21.38 |
Aetna Setting Professional Modifier None Typical Low $9.33 Median $20.89 Typical High $25.70 | Professional | None | $9.33 | $20.89 | $25.70 |
Anthem BCBS Setting Facility Modifier None Typical Low $15.85 Median $25.70 Typical High $26.92 | Facility | None | $15.85 | $25.70 | $26.92 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.88 Median $17.38 Typical High $28.84 | Professional | None | $12.88 | $17.38 | $28.84 |
CareSource Setting Facility Modifier None Typical Low $25.70 Median $30.90 Typical High $35.48 | Facility | None | $25.70 | $30.90 | $35.48 |
CareSource Setting Professional Modifier None Typical Low $25.70 Median $31.62 Typical High $51.29 | Professional | None | $25.70 | $31.62 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $21.88 Median $50.12 Typical High $53.70 | Facility | None | $21.88 | $50.12 | $53.70 |
Cigna Setting Professional Modifier None Typical Low $11.75 Median $123.03 Typical High $123.03 | Professional | None | $11.75 | $123.03 | $123.03 |
United Setting Professional Modifier None Typical Low $10.72 Median $15.49 Typical High $28.18 | Professional | None | $10.72 | $15.49 | $28.18 |
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 $4.68 Median $10.72 Typical High $12.88 | Professional | 52 · Reduced service | $4.68 | $10.72 | $12.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.86 Median $4.27 Typical High $5.13 | Professional | 53 · Discontinued | $1.86 | $4.27 | $5.13 |
Where Kentucky sits
The same service costs 3.8 times more in Alaska than in Alabama. 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· 48th of 51
$17.38
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.