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 $12.02 Median $12.88 Typical High $13.49 | Facility | None | $12.02 | $12.88 | $13.49 |
Aetna Setting Professional Modifier None Typical Low $11.75 Median $12.88 Typical High $16.22 | Professional | None | $11.75 | $12.88 | $16.22 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.00 Median $16.22 Typical High $16.98 | Facility | None | $10.00 | $16.22 | $16.98 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.46 Median $9.77 Typical High $15.85 | Professional | None | $6.46 | $9.77 | $15.85 |
CareSource Setting Facility Modifier None Typical Low $16.22 Median $19.50 Typical High $22.39 | Facility | None | $16.22 | $19.50 | $22.39 |
CareSource Setting Professional Modifier None Typical Low $16.22 Median $19.95 Typical High $32.36 | Professional | None | $16.22 | $19.95 | $32.36 |
Cigna Setting Facility Modifier None Typical Low $12.59 Median $25.70 Typical High $33.88 | Facility | None | $12.59 | $25.70 | $33.88 |
Cigna Setting Professional Modifier None Typical Low $7.41 Median $81.28 Typical High $81.28 | Professional | None | $7.41 | $81.28 | $81.28 |
United Setting Professional Modifier None Typical Low $6.76 Median $9.55 Typical High $16.60 | Professional | None | $6.76 | $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 $6.03 Median $6.76 Typical High $7.94 | Professional | 52 · Reduced service | $6.03 | $6.76 | $7.94 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.40 Median $2.69 Typical High $3.24 | Professional | 53 · Discontinued | $2.40 | $2.69 | $3.24 |
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
$10.23
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.