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 $48.98 Median $51.29 Typical High $61.66 | Facility | None | $48.98 | $51.29 | $61.66 |
Aetna Setting Professional Modifier None Typical Low $48.98 Median $51.29 Typical High $72.44 | Professional | None | $48.98 | $51.29 | $72.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Facility | None | $28.84 | $28.84 | $28.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $38.02 Median $40.74 Typical High $47.86 | Professional | None | $38.02 | $40.74 | $47.86 |
CareSource Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $85.11 | Facility | None | $72.44 | $72.44 | $85.11 |
CareSource Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | None | $102.33 | $102.33 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $6.03 Median $109.65 Typical High $109.65 | Facility | None | $6.03 | $109.65 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $46.77 Median $83.18 Typical High $398.11 | Professional | None | $46.77 | $83.18 | $398.11 |
Molina Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | None | $44.67 | $44.67 | $44.67 |
United Setting Professional Modifier None Typical Low $37.15 Median $42.66 Typical High $57.54 | Professional | None | $37.15 | $42.66 | $57.54 |
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 $24.55 Median $25.70 Typical High $36.31 | Professional | 52 · Reduced service | $24.55 | $25.70 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $10.23 Typical High $14.45 | Professional | 53 · Discontinued | $9.77 | $10.23 | $14.45 |
Where Kentucky sits
The same service costs 9.3 times more in Alaska than in Hawaii. 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· 46th of 51
$44.67
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.