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 $7.94 Median $8.71 Typical High $8.91 | Facility | None | $7.94 | $8.71 | $8.91 |
Aetna Setting Professional Modifier None Typical Low $7.94 Median $8.91 Typical High $10.72 | Professional | None | $7.94 | $8.91 | $10.72 |
Anthem BCBS Setting Facility Modifier None Typical Low $6.61 Median $10.72 Typical High $11.22 | Facility | None | $6.61 | $10.72 | $11.22 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.61 Median $9.12 Typical High $14.79 | Professional | None | $6.61 | $9.12 | $14.79 |
CareSource Setting Facility Modifier None Typical Low $10.72 Median $12.88 Typical High $14.79 | Facility | None | $10.72 | $12.88 | $14.79 |
CareSource Setting Professional Modifier None Typical Low $10.72 Median $13.18 Typical High $21.38 | Professional | None | $10.72 | $13.18 | $21.38 |
Cigna Setting Facility Modifier None Typical Low $8.32 Median $25.12 Typical High $25.12 | Facility | None | $8.32 | $25.12 | $25.12 |
Cigna Setting Professional Modifier None Typical Low $5.50 Median $51.29 Typical High $51.29 | Professional | None | $5.50 | $51.29 | $51.29 |
United Setting Professional Modifier None Typical Low $3.47 Median $8.91 Typical High $14.79 | Professional | None | $3.47 | $8.91 | $14.79 |
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 $3.98 Median $4.47 Typical High $5.37 | Professional | 52 · Reduced service | $3.98 | $4.47 | $5.37 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.62 Median $1.78 Typical High $2.14 | Professional | 53 · Discontinued | $1.62 | $1.78 | $2.14 |
Where Kentucky sits
The same service costs 3.0 times more in Alaska than in Maryland. 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· 36th of 51
$9.12
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.