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 $288.40 Median $302.00 Typical High $512.86 | Facility | None | $288.40 | $302.00 | $512.86 |
Aetna Setting Professional Modifier None Typical Low $288.40 Median $302.00 Typical High $512.86 | Professional | None | $288.40 | $302.00 | $512.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $223.87 Median $354.81 Typical High $371.54 | Facility | None | $223.87 | $354.81 | $371.54 |
Anthem BCBS Setting Professional Modifier None Typical Low $177.83 Median $346.74 Typical High $467.74 | Professional | None | $177.83 | $346.74 | $467.74 |
CareSource Setting Facility Modifier None Typical Low $354.81 Median $426.58 Typical High $501.19 | Facility | None | $354.81 | $426.58 | $501.19 |
CareSource Setting Professional Modifier None Typical Low $354.81 Median $446.68 Typical High $707.95 | Professional | None | $354.81 | $446.68 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $524.81 Typical High $758.58 | Facility | None | $275.42 | $524.81 | $758.58 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $575.44 Typical High $1,737.80 | Professional | None | $181.97 | $575.44 | $1,737.80 |
United Setting Professional Modifier None Typical Low $151.36 Median $275.42 Typical High $489.78 | Professional | None | $151.36 | $275.42 | $489.78 |
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 $144.54 Median $151.36 Typical High $257.04 | Professional | 52 · Reduced service | $144.54 | $151.36 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $60.26 Typical High $102.33 | Professional | 53 · Discontinued | $57.54 | $60.26 | $102.33 |
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
$347
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.