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 $10.72 Median $12.88 Typical High $13.49 | Facility | None | $10.72 | $12.88 | $13.49 |
Aetna Setting Professional Modifier None Typical Low $12.88 Median $13.49 Typical High $18.62 | Professional | None | $12.88 | $13.49 | $18.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.80 Median $3.80 Typical High $3.80 | Facility | None | $3.80 | $3.80 | $3.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.01 Median $5.50 Typical High $6.46 | Professional | None | $5.01 | $5.50 | $6.46 |
CareSource Setting Facility Modifier None Typical Low $13.49 Median $16.60 Typical High $25.70 | Facility | None | $13.49 | $16.60 | $25.70 |
CareSource Setting Professional Modifier None Typical Low $14.13 Median $19.95 Typical High $26.30 | Professional | None | $14.13 | $19.95 | $26.30 |
Cigna Setting Facility Modifier None Typical Low $1.55 Median $28.18 Typical High $28.18 | Facility | None | $1.55 | $28.18 | $28.18 |
Cigna Setting Professional Modifier None Typical Low $12.02 Median $21.38 Typical High $89.13 | Professional | None | $12.02 | $21.38 | $89.13 |
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 $7.94 Median $9.77 Typical High $14.79 | Professional | None | $7.94 | $9.77 | $14.79 |
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 $6.46 Median $6.61 Typical High $9.33 | Professional | 52 · Reduced service | $6.46 | $6.61 | $9.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.57 Median $2.69 Typical High $3.72 | Professional | 53 · Discontinued | $2.57 | $2.69 | $3.72 |
Where Kentucky sits
The same service costs 14.8 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
$6.31
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.