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 $26.92 Median $29.51 Typical High $66.07 | Facility | None | $26.92 | $29.51 | $66.07 |
Aetna Setting Professional Modifier None Typical Low $26.30 Median $28.18 Typical High $35.48 | Professional | None | $26.30 | $28.18 | $35.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $21.88 Median $35.48 Typical High $37.15 | Facility | None | $21.88 | $35.48 | $37.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $17.38 Median $31.62 Typical High $48.98 | Professional | None | $17.38 | $31.62 | $48.98 |
CareSource Setting Facility Modifier None Typical Low $35.48 Median $41.69 Typical High $48.98 | Facility | None | $35.48 | $41.69 | $48.98 |
CareSource Setting Professional Modifier None Typical Low $37.15 Median $45.71 Typical High $57.54 | Professional | None | $37.15 | $45.71 | $57.54 |
Cigna Setting Facility Modifier None Typical Low $27.54 Median $75.86 Typical High $83.18 | Facility | None | $27.54 | $75.86 | $83.18 |
Cigna Setting Professional Modifier None Typical Low $21.88 Median $234.42 Typical High $234.42 | Professional | None | $21.88 | $234.42 | $234.42 |
United Setting Professional Modifier None Typical Low $19.50 Median $29.51 Typical High $58.88 | Professional | None | $19.50 | $29.51 | $58.88 |
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 $13.18 Median $14.13 Typical High $17.38 | Professional | 52 · Reduced service | $13.18 | $14.13 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $5.62 Typical High $7.08 | Professional | 53 · Discontinued | $5.25 | $5.62 | $7.08 |
Where Kentucky sits
The same service costs 3.0 times more in Alaska 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· 37th of 51
$31.62
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.