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 $11.75 Typical High $19.50 | Facility | None | $5.62 | $11.75 | $19.50 |
Aetna Setting Professional Modifier None Typical Low $5.62 Median $11.75 Typical High $14.45 | Professional | None | $5.62 | $11.75 | $14.45 |
Anthem BCBS Setting Facility Modifier None Typical Low $9.12 Median $14.45 Typical High $15.49 | Facility | None | $9.12 | $14.45 | $15.49 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.89 Median $7.59 Typical High $12.30 | Professional | None | $5.89 | $7.59 | $12.30 |
CareSource Setting Facility Modifier None Typical Low $14.45 Median $17.38 Typical High $20.42 | Facility | None | $14.45 | $17.38 | $20.42 |
CareSource Setting Professional Modifier None Typical Low $14.45 Median $18.20 Typical High $29.51 | Professional | None | $14.45 | $18.20 | $29.51 |
Cigna Setting Facility Modifier None Typical Low $11.48 Median $21.38 Typical High $30.90 | Facility | None | $11.48 | $21.38 | $30.90 |
Cigna Setting Professional Modifier None Typical Low $6.61 Median $72.44 Typical High $72.44 | Professional | None | $6.61 | $72.44 | $72.44 |
United Setting Professional Modifier None Typical Low $6.17 Median $7.76 Typical High $15.14 | Professional | None | $6.17 | $7.76 | $15.14 |
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 $2.82 Median $6.17 Typical High $7.24 | Professional | 52 · Reduced service | $2.82 | $6.17 | $7.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.12 Median $2.45 Typical High $2.95 | Professional | 53 · Discontinued | $1.12 | $2.45 | $2.95 |
Where Kentucky sits
The same service costs 3.7 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
$8.91
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.