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 $8.32 Median $8.71 Typical High $15.49 | Facility | None | $8.32 | $8.71 | $15.49 |
Aetna Setting Professional Modifier None Typical Low $8.32 Median $8.71 Typical High $11.22 | Professional | None | $8.32 | $8.71 | $11.22 |
Anthem BCBS Setting Facility Modifier None Typical Low $6.46 Median $10.23 Typical High $10.96 | Facility | None | $6.46 | $10.23 | $10.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.08 Median $12.02 Typical High $14.45 | Professional | None | $7.08 | $12.02 | $14.45 |
CareSource Setting Facility Modifier None Typical Low $10.23 Median $12.30 Typical High $14.45 | Facility | None | $10.23 | $12.30 | $14.45 |
CareSource Setting Professional Modifier None Typical Low $10.23 Median $12.88 Typical High $20.89 | Professional | None | $10.23 | $12.88 | $20.89 |
Cigna Setting Facility Modifier None Typical Low $7.94 Median $22.39 Typical High $22.39 | Facility | None | $7.94 | $22.39 | $22.39 |
Cigna Setting Professional Modifier None Typical Low $5.25 Median $60.26 Typical High $60.26 | Professional | None | $5.25 | $60.26 | $60.26 |
United Setting Professional Modifier None Typical Low $4.37 Median $8.71 Typical High $14.45 | Professional | None | $4.37 | $8.71 | $14.45 |
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 $4.17 Median $4.37 Typical High $5.13 | Professional | 52 · Reduced service | $4.17 | $4.37 | $5.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.66 Median $1.74 Typical High $2.04 | Professional | 53 · Discontinued | $1.66 | $1.74 | $2.04 |
Where Kentucky sits
The same service costs 4.2 times more in Kansas than in Maryland. 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· 25th of 51
$10.96
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.