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 $12.02 Typical High $12.59 | Facility | None | $7.94 | $12.02 | $12.59 |
Aetna Setting Professional Modifier None Typical Low $7.94 Median $12.59 Typical High $15.14 | Professional | None | $7.94 | $12.59 | $15.14 |
Anthem BCBS Setting Facility Modifier None Typical Low $9.33 Median $15.14 Typical High $15.85 | Facility | None | $9.33 | $15.14 | $15.85 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.13 Median $11.22 Typical High $18.20 | Professional | None | $8.13 | $11.22 | $18.20 |
CareSource Setting Facility Modifier None Typical Low $15.14 Median $18.20 Typical High $20.89 | Facility | None | $15.14 | $18.20 | $20.89 |
CareSource Setting Professional Modifier None Typical Low $15.14 Median $18.62 Typical High $30.20 | Professional | None | $15.14 | $18.62 | $30.20 |
Cigna Setting Facility Modifier None Typical Low $11.75 Median $21.88 Typical High $31.62 | Facility | None | $11.75 | $21.88 | $31.62 |
Cigna Setting Professional Modifier None Typical Low $6.92 Median $87.10 Typical High $87.10 | Professional | None | $6.92 | $87.10 | $87.10 |
United Setting Professional Modifier None Typical Low $5.25 Median $10.96 Typical High $18.62 | Professional | None | $5.25 | $10.96 | $18.62 |
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 $6.31 Typical High $7.59 | Professional | 52 · Reduced service | $3.98 | $6.31 | $7.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.62 Median $2.51 Typical High $3.02 | Professional | 53 · Discontinued | $1.62 | $2.51 | $3.02 |
Where Kentucky sits
The same service costs 3.2 times more in Alaska than in New Jersey. 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· 44th 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.