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 $21.88 Typical High $22.39 | Facility | None | $16.22 | $21.88 | $22.39 |
Aetna Setting Professional Modifier None Typical Low $18.62 Median $21.88 Typical High $26.92 | Professional | None | $18.62 | $21.88 | $26.92 |
Anthem BCBS Setting Facility Modifier None Typical Low $16.60 Median $26.92 Typical High $28.18 | Facility | None | $16.60 | $26.92 | $28.18 |
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 $26.92 Median $32.36 Typical High $38.02 | Facility | None | $26.92 | $32.36 | $38.02 |
CareSource Setting Professional Modifier None Typical Low $28.84 Median $34.67 Typical High $44.67 | Professional | None | $28.84 | $34.67 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $20.89 Median $50.12 Typical High $63.10 | Facility | None | $20.89 | $50.12 | $63.10 |
Cigna Setting Professional Modifier None Typical Low $13.49 Median $134.90 Typical High $134.90 | Professional | None | $13.49 | $134.90 | $134.90 |
United Setting Professional Modifier None Typical Low $13.18 Median $16.60 Typical High $36.31 | Professional | None | $13.18 | $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 $9.33 Median $10.96 Typical High $13.49 | Professional | 52 · Reduced service | $9.33 | $10.96 | $13.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.80 Median $4.37 Typical High $5.37 | Professional | 53 · Discontinued | $3.80 | $4.37 | $5.37 |
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· 35th of 51
$22.39
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.