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 $9.77 Median $9.77 Typical High $10.23 | Facility | None | $9.77 | $9.77 | $10.23 |
Aetna Setting Professional Modifier None Typical Low $9.33 Median $9.77 Typical High $11.22 | Professional | None | $9.33 | $9.77 | $11.22 |
Anthem BCBS Setting Facility Modifier None Typical Low $7.59 Median $12.02 Typical High $12.59 | Facility | None | $7.59 | $12.02 | $12.59 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.00 Median $12.02 Typical High $16.98 | Professional | None | $10.00 | $12.02 | $16.98 |
CareSource Setting Facility Modifier None Typical Low $12.02 Median $22.39 Typical High $40.74 | Facility | None | $12.02 | $22.39 | $40.74 |
CareSource Setting Professional Modifier None Typical Low $12.02 Median $15.85 Typical High $19.95 | Professional | None | $12.02 | $15.85 | $19.95 |
Cigna Setting Facility Modifier None Typical Low $9.33 Median $24.55 Typical High $30.90 | Facility | None | $9.33 | $24.55 | $30.90 |
Cigna Setting Professional Modifier None Typical Low $5.62 Median $27.54 Typical High $81.28 | Professional | None | $5.62 | $27.54 | $81.28 |
Molina Setting Professional Modifier None Typical Low $7.24 Median $12.02 Typical High $15.85 | Professional | None | $7.24 | $12.02 | $15.85 |
United Setting Professional Modifier None Typical Low $5.13 Median $9.55 Typical High $10.23 | Professional | None | $5.13 | $9.55 | $10.23 |
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 $4.68 Median $4.90 Typical High $5.62 | Professional | 52 · Reduced service | $4.68 | $4.90 | $5.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.91 Median $1.95 Typical High $2.24 | Professional | 53 · Discontinued | $1.91 | $1.95 | $2.24 |
Where Kentucky sits
The same service costs 4.0 times more in Alaska than in Texas. 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· 24th of 51
$10.23
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.