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 $8.13 Median $11.48 Typical High $18.62 | Facility | None | $8.13 | $11.48 | $18.62 |
Aetna Setting Professional Modifier None Typical Low $8.13 Median $11.48 Typical High $14.13 | Professional | None | $8.13 | $11.48 | $14.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $8.71 Median $14.13 Typical High $14.79 | Facility | None | $8.71 | $14.13 | $14.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.89 Median $8.91 Typical High $14.45 | Professional | None | $5.89 | $8.91 | $14.45 |
CareSource Setting Facility Modifier None Typical Low $14.13 Median $16.98 Typical High $19.95 | Facility | None | $14.13 | $16.98 | $19.95 |
CareSource Setting Professional Modifier None Typical Low $14.13 Median $17.78 Typical High $28.18 | Professional | None | $14.13 | $17.78 | $28.18 |
Cigna Setting Facility Modifier None Typical Low $10.96 Median $21.88 Typical High $30.20 | Facility | None | $10.96 | $21.88 | $30.20 |
Cigna Setting Professional Modifier None Typical Low $6.46 Median $67.61 Typical High $67.61 | Professional | None | $6.46 | $67.61 | $67.61 |
United Setting Professional Modifier None Typical Low $5.25 Median $8.71 Typical High $15.49 | Professional | None | $5.25 | $8.71 | $15.49 |
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 $4.07 Median $5.89 Typical High $7.08 | Professional | 52 · Reduced service | $4.07 | $5.89 | $7.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.62 Median $2.40 Typical High $2.82 | Professional | 53 · Discontinued | $1.62 | $2.40 | $2.82 |
Where Kentucky sits
The same service costs 3.4 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· 50th of 51
$9.77
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.