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 $22.39 Median $33.88 Typical High $35.48 | Facility | None | $22.39 | $33.88 | $35.48 |
Aetna Setting Professional Modifier None Typical Low $29.51 Median $33.88 Typical High $41.69 | Professional | None | $29.51 | $33.88 | $41.69 |
Anthem BCBS Setting Facility Modifier None Typical Low $25.70 Median $41.69 Typical High $43.65 | Facility | None | $25.70 | $41.69 | $43.65 |
Anthem BCBS Setting Professional Modifier None Typical Low $34.67 Median $41.69 Typical High $57.54 | Professional | None | $34.67 | $41.69 | $57.54 |
CareSource Setting Facility Modifier None Typical Low $41.69 Median $50.12 Typical High $58.88 | Facility | None | $41.69 | $50.12 | $58.88 |
CareSource Setting Professional Modifier None Typical Low $44.67 Median $53.70 Typical High $69.18 | Professional | None | $44.67 | $53.70 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $32.36 Median $61.66 Typical High $97.72 | Facility | None | $32.36 | $61.66 | $97.72 |
Cigna Setting Professional Modifier None Typical Low $26.30 Median $275.42 Typical High $275.42 | Professional | None | $26.30 | $275.42 | $275.42 |
United Setting Professional Modifier None Typical Low $22.91 Median $34.67 Typical High $67.61 | Professional | None | $22.91 | $34.67 | $67.61 |
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 $14.45 Median $16.98 Typical High $20.89 | Professional | 52 · Reduced service | $14.45 | $16.98 | $20.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $6.76 Typical High $8.32 | Professional | 53 · Discontinued | $5.89 | $6.76 | $8.32 |
Where Kentucky sits
The same service costs 3.3 times more in Alaska than in Delaware. 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· 30th of 51
$41.69
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.