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 $5.89 Median $10.47 Typical High $10.96 | Facility | None | $5.89 | $10.47 | $10.96 |
Aetna Setting Professional Modifier None Typical Low $9.12 Median $10.47 Typical High $13.18 | Professional | None | $9.12 | $10.47 | $13.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $8.13 Median $13.18 Typical High $13.80 | Facility | None | $8.13 | $13.18 | $13.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.32 Median $11.75 Typical High $17.38 | Professional | None | $8.32 | $11.75 | $17.38 |
CareSource Setting Facility Modifier None Typical Low $13.18 Median $15.85 Typical High $18.20 | Facility | None | $13.18 | $15.85 | $18.20 |
CareSource Setting Professional Modifier None Typical Low $14.13 Median $16.98 Typical High $21.38 | Professional | None | $14.13 | $16.98 | $21.38 |
Cigna Setting Facility Modifier None Typical Low $10.23 Median $23.99 Typical High $30.90 | Facility | None | $10.23 | $23.99 | $30.90 |
Cigna Setting Professional Modifier None Typical Low $6.61 Median $151.36 Typical High $151.36 | Professional | None | $6.61 | $151.36 | $151.36 |
United Setting Professional Modifier None Typical Low $8.13 Median $14.13 Typical High $22.39 | Professional | None | $8.13 | $14.13 | $22.39 |
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 $4.57 Median $5.25 Typical High $6.61 | Professional | 52 · Reduced service | $4.57 | $5.25 | $6.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.82 Median $2.14 Typical High $2.63 | Professional | 53 · Discontinued | $1.82 | $2.14 | $2.63 |
Where Kentucky sits
The same service costs 3.2 times more in Alaska than in New Jersey. 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· 32nd of 51
$13.18
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.