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 $48.98 Typical High $51.29 | Facility | None | $12.02 | $48.98 | $51.29 |
Aetna Setting Professional Modifier None Typical Low $12.02 Median $51.29 Typical High $58.88 | Professional | None | $12.02 | $51.29 | $58.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $38.02 Median $60.26 Typical High $64.57 | Facility | None | $38.02 | $60.26 | $64.57 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.77 Median $10.47 Typical High $24.55 | Professional | None | $9.77 | $10.47 | $24.55 |
CareSource Setting Facility Modifier None Typical Low $60.26 Median $72.44 Typical High $85.11 | Facility | None | $60.26 | $72.44 | $85.11 |
CareSource Setting Professional Modifier None Typical Low $60.26 Median $75.86 Typical High $120.23 | Professional | None | $60.26 | $75.86 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $41.69 Median $89.13 Typical High $128.82 | Facility | None | $41.69 | $89.13 | $128.82 |
Cigna Setting Professional Modifier None Typical Low $8.32 Median $295.12 Typical High $295.12 | Professional | None | $8.32 | $295.12 | $295.12 |
United Setting Professional Modifier None Typical Low $9.55 Median $16.60 Typical High $60.26 | Professional | None | $9.55 | $16.60 | $60.26 |
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 $25.70 Typical High $29.51 | Professional | 52 · Reduced service | $6.03 | $25.70 | $29.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.40 Median $10.23 Typical High $11.75 | Professional | 53 · Discontinued | $2.40 | $10.23 | $11.75 |
Where Kentucky sits
The same service costs 9.1 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
$15.14
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.