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 $30.20 Median $41.69 Typical High $67.61 | Facility | None | $30.20 | $41.69 | $67.61 |
Aetna Setting Professional Modifier None Typical Low $35.48 Median $41.69 Typical High $61.66 | Professional | None | $35.48 | $41.69 | $61.66 |
Anthem BCBS Setting Facility Modifier None Typical Low $31.62 Median $51.29 Typical High $53.70 | Facility | None | $31.62 | $51.29 | $53.70 |
Anthem BCBS Setting Professional Modifier None Typical Low $46.77 Median $91.20 Typical High $229.09 | Professional | None | $46.77 | $91.20 | $229.09 |
CareSource Setting Facility Modifier None Typical Low $51.29 Median $69.18 Typical High $72.44 | Facility | None | $51.29 | $69.18 | $72.44 |
CareSource Setting Professional Modifier None Typical Low $51.29 Median $66.07 Typical High $85.11 | Professional | None | $51.29 | $66.07 | $85.11 |
Cigna Setting Facility Modifier None Typical Low $39.81 Median $95.50 Typical High $120.23 | Facility | None | $39.81 | $95.50 | $120.23 |
Cigna Setting Professional Modifier None Typical Low $25.70 Median $263.03 Typical High $263.03 | Professional | None | $25.70 | $263.03 | $263.03 |
United Setting Professional Modifier None Typical Low $31.62 Median $56.23 Typical High $89.13 | Professional | None | $31.62 | $56.23 | $89.13 |
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 $17.78 Median $20.89 Typical High $25.70 | Professional | 52 · Reduced service | $17.78 | $20.89 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $8.32 Typical High $10.23 | Professional | 53 · Discontinued | $7.24 | $8.32 | $10.23 |
Where Kentucky sits
The same service costs 4.6 times more in South Carolina than in Connecticut. 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· 5th of 51
$91.20
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.