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 $18.62 Median $19.50 Typical High $23.99 | Facility | None | $18.62 | $19.50 | $23.99 |
Aetna Setting Professional Modifier None Typical Low $18.62 Median $19.50 Typical High $23.99 | Professional | None | $18.62 | $19.50 | $23.99 |
Anthem BCBS Setting Facility Modifier None Typical Low $9.77 Median $15.85 Typical High $16.60 | Facility | None | $9.77 | $15.85 | $16.60 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.96 Median $26.30 Typical High $56.23 | Professional | None | $10.96 | $26.30 | $56.23 |
CareSource Setting Facility Modifier None Typical Low $22.91 Median $27.54 Typical High $32.36 | Facility | None | $22.91 | $27.54 | $32.36 |
CareSource Setting Professional Modifier None Typical Low $22.91 Median $28.84 Typical High $46.77 | Professional | None | $22.91 | $28.84 | $46.77 |
Cigna Setting Facility Modifier None Typical Low $18.20 Median $33.88 Typical High $48.98 | Facility | None | $18.20 | $33.88 | $48.98 |
Cigna Setting Professional Modifier None Typical Low $20.89 Median $67.61 Typical High $147.91 | Professional | None | $20.89 | $67.61 | $147.91 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
United Setting Professional Modifier None Typical Low $9.77 Median $18.62 Typical High $30.20 | Professional | None | $9.77 | $18.62 | $30.20 |
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 $9.33 Median $9.77 Typical High $12.02 | Professional | 52 · Reduced service | $9.33 | $9.77 | $12.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.72 Median $3.89 Typical High $4.79 | Professional | 53 · Discontinued | $3.72 | $3.89 | $4.79 |
Where Kentucky sits
The same service costs 3.5 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· 26th of 51
$23.99
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.