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 $8.51 Median $29.51 Typical High $30.90 | Facility | None | $8.51 | $29.51 | $30.90 |
Aetna Setting Professional Modifier None Typical Low $8.51 Median $30.90 Typical High $36.31 | Professional | None | $8.51 | $30.90 | $36.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $22.91 Median $36.31 Typical High $38.02 | Facility | None | $22.91 | $36.31 | $38.02 |
Anthem BCBS Setting Professional Modifier None Typical Low $18.20 Median $47.86 Typical High $77.62 | Professional | None | $18.20 | $47.86 | $77.62 |
CareSource Setting Facility Modifier None Typical Low $36.31 Median $43.65 Typical High $51.29 | Facility | None | $36.31 | $43.65 | $51.29 |
CareSource Setting Professional Modifier None Typical Low $36.31 Median $45.71 Typical High $72.44 | Professional | None | $36.31 | $45.71 | $72.44 |
Cigna Setting Facility Modifier None Typical Low $28.18 Median $53.70 Typical High $77.62 | Facility | None | $28.18 | $53.70 | $77.62 |
Cigna Setting Professional Modifier None Typical Low $18.62 Median $288.40 Typical High $288.40 | Professional | None | $18.62 | $288.40 | $288.40 |
United Setting Professional Modifier None Typical Low $15.49 Median $39.81 Typical High $72.44 | Professional | None | $15.49 | $39.81 | $72.44 |
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 $4.27 Median $15.49 Typical High $18.20 | Professional | 52 · Reduced service | $4.27 | $15.49 | $18.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.70 Median $6.17 Typical High $7.24 | Professional | 53 · Discontinued | $1.70 | $6.17 | $7.24 |
Where Kentucky sits
The same service costs 10.2 times more in Kansas 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· 24th of 51
$43.65
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.