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 $177.83 Median $181.97 Typical High $323.59 | Facility | None | $177.83 | $181.97 | $323.59 |
Aetna Setting Professional Modifier None Typical Low $162.18 Median $181.97 Typical High $323.59 | Professional | None | $162.18 | $181.97 | $323.59 |
Ambetter Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None | $134.90 | $134.90 | $134.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $134.90 Median $218.78 Typical High $229.09 | Facility | None | $134.90 | $218.78 | $229.09 |
Anthem BCBS Setting Professional Modifier None Typical Low $104.71 Median $251.19 Typical High $295.12 | Professional | None | $104.71 | $251.19 | $295.12 |
CareSource Setting Facility Modifier None Typical Low $218.78 Median $263.03 Typical High $302.00 | Facility | None | $218.78 | $263.03 | $302.00 |
CareSource Setting Professional Modifier None Typical Low $234.42 Median $281.84 Typical High $363.08 | Professional | None | $234.42 | $281.84 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $316.23 Typical High $512.86 | Facility | None | $169.82 | $316.23 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $134.90 Median $1,047.13 Typical High $1,047.13 | Professional | None | $134.90 | $1,047.13 | $1,047.13 |
United Setting Professional Modifier None Typical Low $120.23 Median $177.83 Typical High $363.08 | Professional | None | $120.23 | $177.83 | $363.08 |
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 $81.28 Median $89.13 Typical High $162.18 | Professional | 52 · Reduced service | $81.28 | $89.13 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $35.48 Typical High $64.57 | Professional | 53 · Discontinued | $32.36 | $35.48 | $64.57 |
Where Kentucky sits
The same service costs 3.6 times more in Alaska than in Oklahoma. 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· 20th of 51
$229
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.