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 $13.80 Median $14.13 Typical High $32.36 | Facility | None | $13.80 | $14.13 | $32.36 |
Aetna Setting Professional Modifier None Typical Low $13.49 Median $14.13 Typical High $21.88 | Professional | None | $13.49 | $14.13 | $21.88 |
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 $7.08 Median $19.95 Typical High $19.95 | Professional | None | $7.08 | $19.95 | $19.95 |
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 $20.89 Typical High $33.88 | Professional | None | $16.98 | $20.89 | $33.88 |
Cigna Setting Facility Modifier None Typical Low $13.18 Median $24.55 Typical High $35.48 | Facility | None | $13.18 | $24.55 | $35.48 |
Cigna Setting Professional Modifier None Typical Low $7.76 Median $27.54 Typical High $81.28 | Professional | None | $7.76 | $27.54 | $81.28 |
United Setting Professional Modifier None Typical Low $7.08 Median $11.75 Typical High $19.95 | Professional | None | $7.08 | $11.75 | $19.95 |
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 $6.92 Median $7.08 Typical High $10.96 | Professional | 52 · Reduced service | $6.92 | $7.08 | $10.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.75 Median $2.82 Typical High $4.37 | Professional | 53 · Discontinued | $2.75 | $2.82 | $4.37 |
Where Kentucky sits
The same service costs 3.7 times more in Alaska than in Georgia. 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· 21st of 51
$16.98
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.