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 $9.77 Median $14.79 Typical High $15.49 | Facility | None | $9.77 | $14.79 | $15.49 |
Aetna Setting Professional Modifier None Typical Low $9.77 Median $15.14 Typical High $18.20 | Professional | None | $9.77 | $15.14 | $18.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $11.48 Median $18.20 Typical High $19.50 | Facility | None | $11.48 | $18.20 | $19.50 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.59 Median $13.80 Typical High $22.91 | Professional | None | $7.59 | $13.80 | $22.91 |
CareSource Setting Facility Modifier None Typical Low $18.20 Median $21.88 Typical High $25.70 | Facility | None | $18.20 | $21.88 | $25.70 |
CareSource Setting Professional Modifier None Typical Low $18.20 Median $22.91 Typical High $36.31 | Professional | None | $18.20 | $22.91 | $36.31 |
Cigna Setting Facility Modifier None Typical Low $14.45 Median $41.69 Typical High $41.69 | Facility | None | $14.45 | $41.69 | $41.69 |
Cigna Setting Professional Modifier None Typical Low $8.51 Median $107.15 Typical High $107.15 | Professional | None | $8.51 | $107.15 | $107.15 |
United Setting Professional Modifier None Typical Low $7.76 Median $13.80 Typical High $22.39 | Professional | None | $7.76 | $13.80 | $22.39 |
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 $4.90 Median $7.76 Typical High $9.12 | Professional | 52 · Reduced service | $4.90 | $7.76 | $9.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.00 Median $3.09 Typical High $3.63 | Professional | 53 · Discontinued | $2.00 | $3.09 | $3.63 |
Where Kentucky sits
The same service costs 4.1 times more in Kansas than in Alabama. 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· 43rd of 51
$14.45
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.