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 $52.48 Median $53.70 Typical High $123.03 | Facility | None | $52.48 | $53.70 | $123.03 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $53.70 Typical High $64.57 | Professional | None | $51.29 | $53.70 | $64.57 |
Anthem BCBS Setting Facility Modifier None Typical Low $39.81 Median $64.57 Typical High $67.61 | Facility | None | $39.81 | $64.57 | $67.61 |
Anthem BCBS Setting Professional Modifier None Typical Low $25.70 Median $54.95 Typical High $54.95 | Professional | None | $25.70 | $54.95 | $54.95 |
CareSource Setting Facility Modifier None Typical Low $64.57 Median $77.62 Typical High $89.13 | Facility | None | $64.57 | $77.62 | $89.13 |
CareSource Setting Professional Modifier None Typical Low $64.57 Median $79.43 Typical High $128.82 | Professional | None | $64.57 | $79.43 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $93.33 Typical High $134.90 | Facility | None | $50.12 | $93.33 | $134.90 |
Cigna Setting Professional Modifier None Typical Low $29.51 Median $102.33 Typical High $309.03 | Professional | None | $29.51 | $102.33 | $309.03 |
United Setting Professional Modifier None Typical Low $26.92 Median $32.36 Typical High $70.79 | Professional | None | $26.92 | $32.36 | $70.79 |
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 $25.70 Median $26.92 Typical High $30.90 | Professional | 52 · Reduced service | $25.70 | $26.92 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $10.72 Typical High $12.59 | Professional | 53 · Discontinued | $10.47 | $10.72 | $12.59 |
Where Kentucky sits
The same service costs 6.0 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· 27th of 51
$54.95
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.