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 $4.68 Median $4.90 Typical High $5.25 | Facility | None | $4.68 | $4.90 | $5.25 |
Aetna Setting Professional Modifier None Typical Low $4.37 Median $4.90 Typical High $5.75 | Professional | None | $4.37 | $4.90 | $5.75 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.63 Median $5.75 Typical High $6.03 | Facility | None | $3.63 | $5.75 | $6.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.82 Median $4.07 Typical High $6.61 | Professional | None | $1.82 | $4.07 | $6.61 |
CareSource Setting Facility Modifier None Typical Low $5.75 Median $6.92 Typical High $8.13 | Facility | None | $5.75 | $6.92 | $8.13 |
CareSource Setting Professional Modifier None Typical Low $5.75 Median $7.24 Typical High $11.48 | Professional | None | $5.75 | $7.24 | $11.48 |
Cigna Setting Facility Modifier None Typical Low $4.47 Median $9.12 Typical High $12.30 | Facility | None | $4.47 | $9.12 | $12.30 |
Cigna Setting Professional Modifier None Typical Low $2.69 Median $36.31 Typical High $36.31 | Professional | None | $2.69 | $36.31 | $36.31 |
United Setting Professional Modifier None Typical Low $2.63 Median $5.75 Typical High $6.61 | Professional | None | $2.63 | $5.75 | $6.61 |
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 $2.34 Median $2.45 Typical High $2.88 | Professional | 52 · Reduced service | $2.34 | $2.45 | $2.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.93 Median $0.98 Typical High $1.15 | Professional | 53 · Discontinued | $0.93 | $0.98 | $1.15 |
Where Kentucky sits
The same service costs 3.9 times more in Kansas 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· 40th of 51
$4.90
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.