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 $16.22 Median $16.22 Typical High $16.98 | Facility | None | $16.22 | $16.22 | $16.98 |
Aetna Setting Professional Modifier None Typical Low $15.14 Median $16.22 Typical High $19.95 | Professional | None | $15.14 | $16.22 | $19.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $12.59 Median $19.95 Typical High $20.89 | Facility | None | $12.59 | $19.95 | $20.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $16.22 Median $19.50 Typical High $27.54 | Professional | None | $16.22 | $19.50 | $27.54 |
CareSource Setting Facility Modifier None Typical Low $19.95 Median $23.99 Typical High $28.18 | Facility | None | $19.95 | $23.99 | $28.18 |
CareSource Setting Professional Modifier None Typical Low $21.38 Median $26.30 Typical High $33.11 | Professional | None | $21.38 | $26.30 | $33.11 |
Cigna Setting Facility Modifier None Typical Low $15.49 Median $50.12 Typical High $51.29 | Facility | None | $15.49 | $50.12 | $51.29 |
Cigna Setting Professional Modifier None Typical Low $12.59 Median $134.90 Typical High $134.90 | Professional | None | $12.59 | $134.90 | $134.90 |
United Setting Professional Modifier None Typical Low $10.96 Median $16.60 Typical High $33.88 | Professional | None | $10.96 | $16.60 | $33.88 |
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 $7.59 Median $8.13 Typical High $10.00 | Professional | 52 · Reduced service | $7.59 | $8.13 | $10.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.02 Median $3.24 Typical High $3.98 | Professional | 53 · Discontinued | $3.02 | $3.24 | $3.98 |
Where Kentucky sits
The same service costs 5.5 times more in Texas 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· 34th of 51
$19.50
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.