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 $5.62 Median $9.77 Typical High $10.23 | Facility | None | $5.62 | $9.77 | $10.23 |
Aetna Setting Professional Modifier None Typical Low $9.77 Median $10.23 Typical High $14.45 | Professional | None | $9.77 | $10.23 | $14.45 |
Anthem BCBS Setting Facility Modifier None Typical Low $5.89 Median $5.89 Typical High $5.89 | Facility | None | $5.89 | $5.89 | $5.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.76 Median $8.32 Typical High $9.77 | Professional | None | $7.76 | $8.32 | $9.77 |
CareSource Setting Facility Modifier None Typical Low $12.30 Median $16.98 Typical High $70.79 | Facility | None | $12.30 | $16.98 | $70.79 |
CareSource Setting Professional Modifier None Typical Low $11.22 Median $15.14 Typical High $19.50 | Professional | None | $11.22 | $15.14 | $19.50 |
Cigna Setting Facility Modifier None Typical Low $1.20 Median $22.39 Typical High $22.39 | Facility | None | $1.20 | $22.39 | $22.39 |
Cigna Setting Professional Modifier None Typical Low $9.33 Median $16.60 Typical High $69.18 | Professional | None | $9.33 | $16.60 | $69.18 |
Molina Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $32.36 | Professional | None | $30.90 | $30.90 | $32.36 |
United Setting Professional Modifier None Typical Low $5.01 Median $7.41 Typical High $11.22 | Professional | None | $5.01 | $7.41 | $11.22 |
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 $4.90 Median $5.13 Typical High $7.24 | Professional | 52 · Reduced service | $4.90 | $5.13 | $7.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.00 Median $2.04 Typical High $2.88 | Professional | 53 · Discontinued | $2.00 | $2.04 | $2.88 |
Where Kentucky sits
The same service costs 9.3 times more in Alaska than in New Jersey. 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· 42nd of 51
$9.33
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.