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 $66.07 Median $69.18 Typical High $97.72 | Facility | None | $66.07 | $69.18 | $97.72 |
Aetna Setting Professional Modifier None Typical Low $66.07 Median $69.18 Typical High $97.72 | Professional | None | $66.07 | $69.18 | $97.72 |
Anthem BCBS Setting Facility Modifier None Typical Low $51.29 Median $81.28 Typical High $85.11 | Facility | None | $51.29 | $81.28 | $85.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $33.88 Median $89.13 Typical High $89.13 | Professional | None | $33.88 | $89.13 | $89.13 |
CareSource Setting Facility Modifier None Typical Low $81.28 Median $97.72 Typical High $114.82 | Facility | None | $81.28 | $97.72 | $114.82 |
CareSource Setting Professional Modifier None Typical Low $81.28 Median $102.33 Typical High $162.18 | Professional | None | $81.28 | $102.33 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $63.10 Median $158.49 Typical High $177.83 | Facility | None | $63.10 | $158.49 | $177.83 |
Cigna Setting Professional Modifier None Typical Low $37.15 Median $131.83 Typical High $398.11 | Professional | None | $37.15 | $131.83 | $398.11 |
United Setting Professional Modifier None Typical Low $34.67 Median $53.70 Typical High $95.50 | Professional | None | $34.67 | $53.70 | $95.50 |
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 $33.11 Median $34.67 Typical High $48.98 | Professional | 52 · Reduced service | $33.11 | $34.67 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $13.80 Typical High $19.95 | Professional | 53 · Discontinued | $13.18 | $13.80 | $19.95 |
Where Kentucky sits
The same service costs 4.9 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· 23rd of 51
$81.28
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.