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 $14.45 Median $15.14 Typical High $15.49 | Facility | None | $14.45 | $15.14 | $15.49 |
Aetna Setting Professional Modifier None Typical Low $14.45 Median $15.14 Typical High $21.38 | Professional | None | $14.45 | $15.14 | $21.38 |
Anthem BCBS Setting Facility Modifier None Typical Low $7.08 Median $7.08 Typical High $7.08 | Facility | None | $7.08 | $7.08 | $7.08 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.33 Median $10.00 Typical High $12.02 | Professional | None | $9.33 | $10.00 | $12.02 |
CareSource Setting Facility Modifier None Typical Low $21.38 Median $21.38 Typical High $25.12 | Facility | None | $21.38 | $21.38 | $25.12 |
CareSource Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
Cigna Setting Facility Modifier None Typical Low $1.78 Median $32.36 Typical High $32.36 | Facility | None | $1.78 | $32.36 | $32.36 |
Cigna Setting Professional Modifier None Typical Low $13.80 Median $24.55 Typical High $102.33 | Professional | None | $13.80 | $24.55 | $102.33 |
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 $10.96 Median $12.02 Typical High $16.98 | Professional | None | $10.96 | $12.02 | $16.98 |
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 $7.24 Median $7.59 Typical High $10.72 | Professional | 52 · Reduced service | $7.24 | $7.59 | $10.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.88 Median $3.02 Typical High $4.27 | Professional | 53 · Discontinued | $2.88 | $3.02 | $4.27 |
Where Kentucky sits
The same service costs 8.9 times more in Alaska than in Kentucky. 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· 51st of 51
$11.75
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.