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 $33.11 Median $33.88 Typical High $52.48 | Facility | None | $33.11 | $33.88 | $52.48 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $33.88 Typical High $52.48 | Professional | None | $30.20 | $33.88 | $52.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $25.12 Median $40.74 Typical High $42.66 | Facility | None | $25.12 | $40.74 | $42.66 |
Anthem BCBS Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $40.74 | Professional | None | $16.22 | $16.22 | $40.74 |
CareSource Setting Facility Modifier None Typical Low $40.74 Median $54.95 Typical High $56.23 | Facility | None | $40.74 | $54.95 | $56.23 |
CareSource Setting Professional Modifier None Typical Low $40.74 Median $52.48 Typical High $67.61 | Professional | None | $40.74 | $52.48 | $67.61 |
Cigna Setting Facility Modifier None Typical Low $31.62 Median $147.91 Typical High $147.91 | Facility | None | $31.62 | $147.91 | $147.91 |
Cigna Setting Professional Modifier None Typical Low $21.88 Median $194.98 Typical High $194.98 | Professional | None | $21.88 | $194.98 | $194.98 |
United Setting Professional Modifier None Typical Low $21.38 Median $28.84 Typical High $67.61 | Professional | None | $21.38 | $28.84 | $67.61 |
3 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 $15.14 Median $16.60 Typical High $26.30 | Professional | 52 · Reduced service | $15.14 | $16.60 | $26.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $6.61 Typical High $10.47 | Professional | 53 · Discontinued | $6.03 | $6.61 | $10.47 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | 59 · Distinct service | $28.18 | $28.18 | $28.18 |
Where Kentucky sits
The same service costs 3.5 times more in Alaska than in Florida. 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· 42nd of 51
$33.11
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.