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 $2.45 Median $9.12 Typical High $9.55 | Facility | None | $2.45 | $9.12 | $9.55 |
Aetna Setting Professional Modifier None Typical Low $2.45 Median $9.55 Typical High $11.22 | Professional | None | $2.45 | $9.55 | $11.22 |
Anthem BCBS Setting Facility Modifier None Typical Low $7.08 Median $11.22 Typical High $11.75 | Facility | None | $7.08 | $11.22 | $11.75 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.62 Median $6.31 Typical High $10.23 | Professional | None | $5.62 | $6.31 | $10.23 |
CareSource Setting Facility Modifier None Typical Low $11.22 Median $13.49 Typical High $15.85 | Facility | None | $11.22 | $13.49 | $15.85 |
CareSource Setting Professional Modifier None Typical Low $11.22 Median $14.13 Typical High $22.39 | Professional | None | $11.22 | $14.13 | $22.39 |
Cigna Setting Facility Modifier None Typical Low $8.71 Median $16.60 Typical High $26.92 | Facility | None | $8.71 | $16.60 | $26.92 |
Cigna Setting Professional Modifier None Typical Low $5.75 Median $75.86 Typical High $75.86 | Professional | None | $5.75 | $75.86 | $75.86 |
United Setting Professional Modifier None Typical Low $3.72 Median $6.17 Typical High $13.49 | Professional | None | $3.72 | $6.17 | $13.49 |
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 $1.23 Median $4.79 Typical High $5.62 | Professional | 52 · Reduced service | $1.23 | $4.79 | $5.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.49 Median $1.91 Typical High $2.24 | Professional | 53 · Discontinued | $0.49 | $1.91 | $2.24 |
Where Kentucky sits
The same service costs 3.5 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
$7.24
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.