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 $23.99 Typical High $25.12 | Facility | None | $16.22 | $23.99 | $25.12 |
Aetna Setting Professional Modifier None Typical Low $20.89 Median $23.99 Typical High $29.51 | Professional | None | $20.89 | $23.99 | $29.51 |
Anthem BCBS Setting Facility Modifier None Typical Low $18.62 Median $29.51 Typical High $31.62 | Facility | None | $18.62 | $29.51 | $31.62 |
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 $29.51 Median $35.48 Typical High $41.69 | Facility | None | $29.51 | $35.48 | $41.69 |
CareSource Setting Professional Modifier None Typical Low $31.62 Median $38.90 Typical High $48.98 | Professional | None | $31.62 | $38.90 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $23.44 Median $50.12 Typical High $70.79 | Facility | None | $23.44 | $50.12 | $70.79 |
Cigna Setting Professional Modifier None Typical Low $13.80 Median $144.54 Typical High $144.54 | Professional | None | $13.80 | $144.54 | $144.54 |
United Setting Professional Modifier None Typical Low $13.18 Median $17.78 Typical High $36.31 | Professional | None | $13.18 | $17.78 | $36.31 |
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 $10.47 Median $12.02 Typical High $14.79 | Professional | 52 · Reduced service | $10.47 | $12.02 | $14.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.17 Median $4.79 Typical High $6.03 | Professional | 53 · Discontinued | $4.17 | $4.79 | $6.03 |
Where Kentucky sits
The same service costs 5.4 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· 36th of 51
$23.99
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.