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 $77.62 Median $79.43 Typical High $114.82 | Facility | None | $77.62 | $79.43 | $114.82 |
Aetna Setting Professional Modifier None Typical Low $75.86 Median $79.43 Typical High $114.82 | Professional | None | $75.86 | $79.43 | $114.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $58.88 Median $95.50 Typical High $100.00 | Facility | None | $58.88 | $95.50 | $100.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $39.81 Median $104.71 Typical High $104.71 | Professional | None | $39.81 | $104.71 | $104.71 |
CareSource Setting Facility Modifier None Typical Low $95.50 Median $114.82 Typical High $134.90 | Facility | None | $95.50 | $114.82 | $134.90 |
CareSource Setting Professional Modifier None Typical Low $95.50 Median $120.23 Typical High $190.55 | Professional | None | $95.50 | $120.23 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $186.21 Typical High $204.17 | Facility | None | $74.13 | $186.21 | $204.17 |
Cigna Setting Professional Modifier None Typical Low $43.65 Median $154.88 Typical High $457.09 | Professional | None | $43.65 | $154.88 | $457.09 |
United Setting Professional Modifier None Typical Low $39.81 Median $63.10 Typical High $112.20 | Professional | None | $39.81 | $63.10 | $112.20 |
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 $38.90 Median $39.81 Typical High $57.54 | Professional | 52 · Reduced service | $38.90 | $39.81 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $16.22 Typical High $22.91 | Professional | 53 · Discontinued | $15.49 | $16.22 | $22.91 |
Where Kentucky sits
The same service costs 5.4 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· 25th of 51
$95.50
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.