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 $26.30 Median $27.54 Typical High $36.31 | Facility | None | $26.30 | $27.54 | $36.31 |
Aetna Setting Professional Modifier None Typical Low $26.30 Median $27.54 Typical High $36.31 | Professional | None | $26.30 | $27.54 | $36.31 |
Ambetter Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $33.11 | Professional | None | $27.54 | $27.54 | $33.11 |
Anthem BCBS Setting Facility Modifier None Typical Low $20.42 Median $33.11 Typical High $34.67 | Facility | None | $20.42 | $33.11 | $34.67 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.55 Median $11.75 Typical High $28.18 | Professional | None | $9.55 | $11.75 | $28.18 |
CareSource Setting Facility Modifier None Typical Low $33.11 Median $38.90 Typical High $45.71 | Facility | None | $33.11 | $38.90 | $45.71 |
CareSource Setting Professional Modifier None Typical Low $33.11 Median $40.74 Typical High $66.07 | Professional | None | $33.11 | $40.74 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $28.18 Median $47.86 Typical High $69.18 | Facility | None | $28.18 | $47.86 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $15.14 Median $52.48 Typical High $158.49 | Professional | None | $15.14 | $52.48 | $158.49 |
United Setting Professional Modifier None Typical Low $13.80 Median $19.50 Typical High $36.31 | Professional | None | $13.80 | $19.50 | $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 $13.18 Median $13.80 Typical High $18.20 | Professional | 52 · Reduced service | $13.18 | $13.80 | $18.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $5.50 Typical High $7.24 | Professional | 53 · Discontinued | $5.37 | $5.50 | $7.24 |
Where Kentucky sits
The same service costs 3.8 times more in Alaska than in Kentucky. 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· 51st 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.