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 $15.49 Median $63.10 Typical High $66.07 | Facility | None | $15.49 | $63.10 | $66.07 |
Aetna Setting Professional Modifier None Typical Low $15.49 Median $66.07 Typical High $79.43 | Professional | None | $15.49 | $66.07 | $79.43 |
Anthem BCBS Setting Facility Modifier None Typical Low $48.98 Median $79.43 Typical High $83.18 | Facility | None | $48.98 | $79.43 | $83.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $31.62 Median $33.88 Typical High $54.95 | Professional | None | $31.62 | $33.88 | $54.95 |
CareSource Setting Facility Modifier None Typical Low $79.43 Median $93.33 Typical High $109.65 | Facility | None | $79.43 | $93.33 | $109.65 |
CareSource Setting Professional Modifier None Typical Low $79.43 Median $97.72 Typical High $158.49 | Professional | None | $79.43 | $97.72 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $114.82 Typical High $165.96 | Facility | None | $61.66 | $114.82 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $26.92 Median $380.19 Typical High $380.19 | Professional | None | $26.92 | $380.19 | $380.19 |
United Setting Professional Modifier None Typical Low $25.70 Median $33.88 Typical High $79.43 | Professional | None | $25.70 | $33.88 | $79.43 |
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 $7.76 Median $33.11 Typical High $38.90 | Professional | 52 · Reduced service | $7.76 | $33.11 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.09 Median $13.18 Typical High $15.85 | Professional | 53 · Discontinued | $3.09 | $13.18 | $15.85 |
Where Kentucky sits
The same service costs 4.9 times more in Alaska than in Kansas. 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· 49th of 51
$40.74
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.