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 $13.49 Median $14.13 Typical High $14.13 | Facility | None | $13.49 | $14.13 | $14.13 |
Aetna Setting Professional Modifier None Typical Low $12.88 Median $14.13 Typical High $18.20 | Professional | None | $12.88 | $14.13 | $18.20 |
Ambetter Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | None | $16.98 | $16.98 | $16.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.47 Median $16.98 Typical High $17.78 | Facility | None | $10.47 | $16.98 | $17.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.76 Median $11.22 Typical High $16.22 | Professional | None | $6.76 | $11.22 | $16.22 |
CareSource Setting Facility Modifier None Typical Low $16.98 Median $19.95 Typical High $23.44 | Facility | None | $16.98 | $19.95 | $23.44 |
CareSource Setting Professional Modifier None Typical Low $16.98 Median $19.50 Typical High $27.54 | Professional | None | $16.98 | $19.50 | $27.54 |
Cigna Setting Facility Modifier None Typical Low $14.45 Median $50.12 Typical High $50.12 | Facility | None | $14.45 | $50.12 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $7.76 Median $81.28 Typical High $81.28 | Professional | None | $7.76 | $81.28 | $81.28 |
United Setting Professional Modifier None Typical Low $7.08 Median $9.77 Typical High $16.98 | Professional | None | $7.08 | $9.77 | $16.98 |
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 $6.76 Median $7.08 Typical High $8.32 | Professional | 52 · Reduced service | $6.76 | $7.08 | $8.32 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.69 Median $2.82 Typical High $3.39 | Professional | 53 · Discontinued | $2.69 | $2.82 | $3.39 |
Where Kentucky sits
The same service costs 3.6 times more in Alaska 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· 42nd of 51
$13.49
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.