How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $338.84 Median $346.74 Typical High $630.96 | Facility | None | $338.84 | $346.74 | $630.96 |
Aetna Setting Professional Modifier None Typical Low $309.03 Median $346.74 Typical High $616.60 | Professional | None | $309.03 | $346.74 | $616.60 |
Anthem BCBS Setting Facility Modifier None Typical Low $257.04 Median $416.87 Typical High $436.52 | Facility | None | $257.04 | $416.87 | $436.52 |
Anthem BCBS Setting Professional Modifier None Typical Low $204.17 Median $489.78 Typical High $575.44 | Professional | None | $204.17 | $489.78 | $575.44 |
CareSource Setting Facility Modifier None Typical Low $416.87 Median $562.34 Typical High $588.84 | Facility | None | $416.87 | $562.34 | $588.84 |
CareSource Setting Professional Modifier None Typical Low $416.87 Median $537.03 Typical High $691.83 | Professional | None | $416.87 | $537.03 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $891.25 Typical High $977.24 | Facility | None | $323.59 | $891.25 | $977.24 |
Cigna Setting Professional Modifier None Typical Low $257.04 Median $1,995.26 Typical High $1,995.26 | Professional | None | $257.04 | $1,995.26 | $1,995.26 |
United Setting Professional Modifier None Typical Low $229.09 Median $338.84 Typical High $707.95 | Professional | None | $229.09 | $338.84 | $707.95 |
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 $154.88 Median $169.82 Typical High $309.03 | Professional | 52 · Reduced service | $154.88 | $169.82 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $67.61 Typical High $125.89 | Professional | 53 · Discontinued | $63.10 | $67.61 | $125.89 |
Where Kentucky sits
The same service costs 5.4 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· 21st of 51
$457
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.