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 $45.71 Median $85.11 Typical High $89.13 | Facility | None | $45.71 | $85.11 | $89.13 |
Aetna Setting Professional Modifier None Typical Low $45.71 Median $89.13 Typical High $107.15 | Professional | None | $45.71 | $89.13 | $107.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $66.07 Median $107.15 Typical High $112.20 | Facility | None | $66.07 | $107.15 | $112.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $42.66 Median $54.95 Typical High $89.13 | Professional | None | $42.66 | $54.95 | $89.13 |
CareSource Setting Facility Modifier None Typical Low $107.15 Median $128.82 Typical High $147.91 | Facility | None | $107.15 | $128.82 | $147.91 |
CareSource Setting Professional Modifier None Typical Low $107.15 Median $131.83 Typical High $213.80 | Professional | None | $107.15 | $131.83 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $154.88 Typical High $223.87 | Facility | None | $83.18 | $154.88 | $223.87 |
Cigna Setting Professional Modifier None Typical Low $44.67 Median $512.86 Typical High $512.86 | Professional | None | $44.67 | $512.86 | $512.86 |
United Setting Professional Modifier None Typical Low $44.67 Median $54.95 Typical High $107.15 | Professional | None | $44.67 | $54.95 | $107.15 |
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 $22.91 Median $44.67 Typical High $52.48 | Professional | 52 · Reduced service | $22.91 | $44.67 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $17.78 Typical High $21.38 | Professional | 53 · Discontinued | $9.12 | $17.78 | $21.38 |
Where Kentucky sits
The same service costs 6.2 times more in Alaska than in Alabama. 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
$63.10
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.