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 $6.46 Median $10.23 Typical High $10.47 | Facility | None | $6.46 | $10.23 | $10.47 |
Aetna Setting Professional Modifier None Typical Low $6.46 Median $10.47 Typical High $12.59 | Professional | None | $6.46 | $10.47 | $12.59 |
Anthem BCBS Setting Facility Modifier None Typical Low $7.76 Median $12.59 Typical High $13.18 | Facility | None | $7.76 | $12.59 | $13.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.17 Median $10.72 Typical High $17.38 | Professional | None | $6.17 | $10.72 | $17.38 |
CareSource Setting Facility Modifier None Typical Low $12.59 Median $15.14 Typical High $17.38 | Facility | None | $12.59 | $15.14 | $17.38 |
CareSource Setting Professional Modifier None Typical Low $12.59 Median $15.85 Typical High $25.12 | Professional | None | $12.59 | $15.85 | $25.12 |
Cigna Setting Facility Modifier None Typical Low $9.77 Median $50.12 Typical High $50.12 | Facility | None | $9.77 | $50.12 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $6.46 Median $83.18 Typical High $83.18 | Professional | None | $6.46 | $83.18 | $83.18 |
United Setting Professional Modifier None Typical Low $5.25 Median $10.47 Typical High $17.38 | Professional | None | $5.25 | $10.47 | $17.38 |
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 $3.24 Median $5.25 Typical High $6.31 | Professional | 52 · Reduced service | $3.24 | $5.25 | $6.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.29 Median $2.09 Typical High $2.51 | Professional | 53 · Discontinued | $1.29 | $2.09 | $2.51 |
Where Kentucky sits
The same service costs 3.5 times more in South Carolina 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
$10.72
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.