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 $9.77 Typical High $10.23 | Facility | None | $5.89 | $9.77 | $10.23 |
Aetna Setting Professional Modifier None Typical Low $8.51 Median $9.77 Typical High $12.02 | Professional | None | $8.51 | $9.77 | $12.02 |
Anthem BCBS Setting Facility Modifier None Typical Low $7.59 Median $12.02 Typical High $12.59 | Facility | None | $7.59 | $12.02 | $12.59 |
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 $12.02 Median $14.45 Typical High $16.98 | Facility | None | $12.02 | $14.45 | $16.98 |
CareSource Setting Professional Modifier None Typical Low $12.88 Median $15.85 Typical High $19.95 | Professional | None | $12.88 | $15.85 | $19.95 |
Cigna Setting Facility Modifier None Typical Low $9.33 Median $17.78 Typical High $28.84 | Facility | None | $9.33 | $17.78 | $28.84 |
Cigna Setting Professional Modifier None Typical Low $6.31 Median $144.54 Typical High $144.54 | Professional | None | $6.31 | $144.54 | $144.54 |
United Setting Professional Modifier None Typical Low $7.59 Median $14.13 Typical High $22.39 | Professional | None | $7.59 | $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 $4.27 Median $4.90 Typical High $6.03 | Professional | 52 · Reduced service | $4.27 | $4.90 | $6.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.70 Median $1.95 Typical High $2.40 | Professional | 53 · Discontinued | $1.70 | $1.95 | $2.40 |
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· 35th of 51
$12.02
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.