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 $213.80 Median $218.78 Typical High $316.23 | Facility | None | $213.80 | $218.78 | $316.23 |
Aetna Setting Professional Modifier None Typical Low $194.98 Median $218.78 Typical High $316.23 | Professional | None | $194.98 | $218.78 | $316.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $162.18 Median $263.03 Typical High $275.42 | Facility | None | $162.18 | $263.03 | $275.42 |
Anthem BCBS Setting Professional Modifier None Typical Low $213.80 Median $295.12 Typical High $295.12 | Professional | None | $213.80 | $295.12 | $295.12 |
CareSource Setting Facility Modifier None Typical Low $263.03 Median $354.81 Typical High $371.54 | Facility | None | $263.03 | $354.81 | $371.54 |
CareSource Setting Professional Modifier None Typical Low $263.03 Median $338.84 Typical High $436.52 | Professional | None | $263.03 | $338.84 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $457.09 Typical High $616.60 | Facility | None | $204.17 | $457.09 | $616.60 |
Cigna Setting Professional Modifier None Typical Low $131.83 Median $1,258.93 Typical High $1,258.93 | Professional | None | $131.83 | $1,258.93 | $1,258.93 |
United Setting Professional Modifier None Typical Low $131.83 Median $173.78 Typical High $436.52 | Professional | None | $131.83 | $173.78 | $436.52 |
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 $97.72 Median $107.15 Typical High $158.49 | Professional | 52 · Reduced service | $97.72 | $107.15 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $42.66 Typical High $64.57 | Professional | 53 · Discontinued | $39.81 | $42.66 | $64.57 |
Where Kentucky sits
The same service costs 4.5 times more in Alaska than in Georgia. 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· 17th of 51
$288
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.