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 $10.96 Typical High $11.22 | Facility | None | $10.72 | $10.96 | $11.22 |
Aetna Setting Professional Modifier None Typical Low $10.72 Median $11.22 Typical High $13.49 | Professional | None | $10.72 | $11.22 | $13.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $8.32 Median $13.49 Typical High $14.13 | Facility | None | $8.32 | $13.49 | $14.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.32 Median $11.48 Typical High $18.62 | Professional | None | $8.32 | $11.48 | $18.62 |
CareSource Setting Facility Modifier None Typical Low $13.49 Median $16.22 Typical High $18.62 | Facility | None | $13.49 | $16.22 | $18.62 |
CareSource Setting Professional Modifier None Typical Low $13.49 Median $16.60 Typical High $26.92 | Professional | None | $13.49 | $16.60 | $26.92 |
Cigna Setting Facility Modifier None Typical Low $10.47 Median $28.18 Typical High $28.18 | Facility | None | $10.47 | $28.18 | $28.18 |
Cigna Setting Professional Modifier None Typical Low $6.76 Median $89.13 Typical High $89.13 | Professional | None | $6.76 | $89.13 | $89.13 |
United Setting Professional Modifier None Typical Low $5.25 Median $11.22 Typical High $18.20 | Professional | None | $5.25 | $11.22 | $18.20 |
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 $5.37 Median $5.62 Typical High $6.76 | Professional | 52 · Reduced service | $5.37 | $5.62 | $6.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.14 Median $2.24 Typical High $2.69 | Professional | 53 · Discontinued | $2.14 | $2.24 | $2.69 |
Where Kentucky sits
The same service costs 3.7 times more in Alaska than in Texas. 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· 34th of 51
$11.48
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.