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 $10.00 Median $10.23 Typical High $12.02 | Facility | None | $10.00 | $10.23 | $12.02 |
Aetna Setting Professional Modifier None Typical Low $10.00 Median $10.23 Typical High $12.30 | Professional | None | $10.00 | $10.23 | $12.30 |
Anthem BCBS Setting Facility Modifier None Typical Low $7.59 Median $12.30 Typical High $12.88 | Facility | None | $7.59 | $12.30 | $12.88 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.89 Median $10.00 Typical High $16.60 | Professional | None | $5.89 | $10.00 | $16.60 |
CareSource Setting Facility Modifier None Typical Low $12.30 Median $14.79 Typical High $16.98 | Facility | None | $12.30 | $14.79 | $16.98 |
CareSource Setting Professional Modifier None Typical Low $12.30 Median $15.14 Typical High $24.55 | Professional | None | $12.30 | $15.14 | $24.55 |
Cigna Setting Facility Modifier None Typical Low $9.55 Median $25.70 Typical High $25.70 | Facility | None | $9.55 | $25.70 | $25.70 |
Cigna Setting Professional Modifier None Typical Low $6.17 Median $81.28 Typical High $81.28 | Professional | None | $6.17 | $81.28 | $81.28 |
United Setting Professional Modifier None Typical Low $5.13 Median $9.55 Typical High $16.60 | Professional | None | $5.13 | $9.55 | $16.60 |
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 $5.01 Median $5.13 Typical High $6.17 | Professional | 52 · Reduced service | $5.01 | $5.13 | $6.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.00 Median $2.04 Typical High $2.45 | Professional | 53 · Discontinued | $2.00 | $2.04 | $2.45 |
Where Kentucky sits
The same service costs 4.1 times more in Kansas than in New Jersey. 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· 42nd of 51
$10.00
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.