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 $10.72 Median $13.80 Typical High $14.13 | Facility | None | $10.72 | $13.80 | $14.13 |
Aetna Setting Professional Modifier None Typical Low $10.72 Median $14.13 Typical High $16.98 | Professional | None | $10.72 | $14.13 | $16.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.47 Median $16.98 Typical High $17.78 | Facility | None | $10.47 | $16.98 | $17.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.32 Median $12.88 Typical High $23.44 | Professional | None | $8.32 | $12.88 | $23.44 |
CareSource Setting Facility Modifier None Typical Low $16.98 Median $20.42 Typical High $23.44 | Facility | None | $16.98 | $20.42 | $23.44 |
CareSource Setting Professional Modifier None Typical Low $16.98 Median $21.38 Typical High $33.88 | Professional | None | $16.98 | $21.38 | $33.88 |
Cigna Setting Facility Modifier None Typical Low $13.18 Median $40.74 Typical High $40.74 | Facility | None | $13.18 | $40.74 | $40.74 |
Cigna Setting Professional Modifier None Typical Low $8.51 Median $109.65 Typical High $109.65 | Professional | None | $8.51 | $109.65 | $109.65 |
United Setting Professional Modifier None Typical Low $7.08 Median $14.13 Typical High $22.91 | Professional | None | $7.08 | $14.13 | $22.91 |
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 $5.37 Median $7.08 Typical High $8.51 | Professional | 52 · Reduced service | $5.37 | $7.08 | $8.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.14 Median $2.82 Typical High $3.39 | Professional | 53 · Discontinued | $2.14 | $2.82 | $3.39 |
Where Kentucky sits
The same service costs 3.2 times more in Alaska 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· 37th of 51
$14.45
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.