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 $16.98 Typical High $28.18 | Facility | None | $16.22 | $16.98 | $28.18 |
Aetna Setting Professional Modifier None Typical Low $15.14 Median $18.62 Typical High $30.20 | Professional | None | $15.14 | $18.62 | $30.20 |
Ambetter Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $12.30 | Professional | None | $12.30 | $12.30 | $12.30 |
Anthem BCBS Setting Facility Modifier None Typical Low $12.59 Median $19.95 Typical High $20.89 | Facility | None | $12.59 | $19.95 | $20.89 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.00 Median $12.30 Typical High $28.84 | Professional | None | $10.00 | $12.30 | $28.84 |
CareSource Setting Facility Modifier None Typical Low $19.95 Median $26.92 Typical High $28.18 | Facility | None | $19.95 | $26.92 | $28.18 |
CareSource Setting Professional Modifier None Typical Low $19.95 Median $26.30 Typical High $33.11 | Professional | None | $19.95 | $26.30 | $33.11 |
Cigna Setting Facility Modifier None Typical Low $15.49 Median $42.66 Typical High $46.77 | Facility | None | $15.49 | $42.66 | $46.77 |
Cigna Setting Professional Modifier None Typical Low $12.59 Median $128.82 Typical High $128.82 | Professional | None | $12.59 | $128.82 | $128.82 |
United Setting Professional Modifier None Typical Low $10.96 Median $16.60 Typical High $28.84 | Professional | None | $10.96 | $16.60 | $28.84 |
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 $7.59 Median $8.13 Typical High $14.13 | Professional | 52 · Reduced service | $7.59 | $8.13 | $14.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.02 Median $3.24 Typical High $5.62 | Professional | 53 · Discontinued | $3.02 | $3.24 | $5.62 |
Where Kentucky sits
The same service costs 4.3 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· 34th of 51
$19.50
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.