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 $165.96 Median $263.03 Typical High $275.42 | Facility | None | $165.96 | $263.03 | $275.42 |
Aetna Setting Professional Modifier None Typical Low $165.96 Median $263.03 Typical High $323.59 | Professional | None | $165.96 | $263.03 | $323.59 |
Anthem BCBS Setting Facility Modifier None Typical Low $204.17 Median $323.59 Typical High $338.84 | Facility | None | $204.17 | $323.59 | $338.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $107.15 Median $151.36 Typical High $151.36 | Professional | None | $107.15 | $151.36 | $151.36 |
CareSource Setting Facility Modifier None Typical Low $323.59 Median $389.05 Typical High $457.09 | Facility | None | $323.59 | $389.05 | $457.09 |
CareSource Setting Professional Modifier None Typical Low $323.59 Median $371.54 Typical High $537.03 | Professional | None | $323.59 | $371.54 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $524.81 Typical High $691.83 | Facility | None | $251.19 | $524.81 | $691.83 |
Cigna Setting Professional Modifier None Typical Low $97.72 Median $467.74 Typical High $1,584.89 | Professional | None | $97.72 | $467.74 | $1,584.89 |
United Setting Professional Modifier None Typical Low $89.13 Median $138.04 Typical High $323.59 | Professional | None | $89.13 | $138.04 | $323.59 |
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 $83.18 Median $131.83 Typical High $158.49 | Professional | 52 · Reduced service | $83.18 | $131.83 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $52.48 Typical High $63.10 | Professional | 53 · Discontinued | $33.11 | $52.48 | $63.10 |
Where Kentucky sits
The same service costs 8.9 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· 49th of 51
$151
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.