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 $17.78 Typical High $18.62 | Facility | None | $16.22 | $17.78 | $18.62 |
Aetna Setting Professional Modifier None Typical Low $16.22 Median $17.78 Typical High $21.88 | Professional | None | $16.22 | $17.78 | $21.88 |
Anthem BCBS Setting Facility Modifier None Typical Low $13.80 Median $21.88 Typical High $22.91 | Facility | None | $13.80 | $21.88 | $22.91 |
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 $21.88 Median $26.30 Typical High $30.90 | Facility | None | $21.88 | $26.30 | $30.90 |
CareSource Setting Professional Modifier None Typical Low $23.44 Median $28.18 Typical High $36.31 | Professional | None | $23.44 | $28.18 | $36.31 |
Cigna Setting Facility Modifier None Typical Low $16.98 Median $50.12 Typical High $51.29 | Facility | None | $16.98 | $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 $12.02 Median $16.60 Typical High $36.31 | Professional | None | $12.02 | $16.60 | $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 $8.13 Median $8.91 Typical High $10.96 | Professional | 52 · Reduced service | $8.13 | $8.91 | $10.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.24 Median $3.55 Typical High $4.37 | Professional | 53 · Discontinued | $3.24 | $3.55 | $4.37 |
Where Kentucky sits
The same service costs 4.7 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· 35th of 51
$19.95
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.