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 $416.87 Median $416.87 Typical High $457.09 | Facility | None | $416.87 | $416.87 | $457.09 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $457.09 | Professional | None | $416.87 | $416.87 | $457.09 |
Anthem BCBS Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Facility | None | $162.18 | $162.18 | $162.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $77.62 Median $199.53 Typical High $251.19 | Professional | None | $77.62 | $199.53 | $251.19 |
Cigna Setting Professional Modifier None Typical Low $2.45 Median $776.25 Typical High $776.25 | Professional | None | $2.45 | $776.25 | $776.25 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $44.67 | Professional | None | $30.20 | $30.20 | $44.67 |
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 $208.93 Median $208.93 Typical High $229.09 | Professional | 52 · Reduced service | $208.93 | $208.93 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $83.18 Typical High $91.20 | Professional | 53 · Discontinued | $83.18 | $83.18 | $91.20 |
Where Kentucky sits
The same service costs 93.3 times more in Hawaii than in South Dakota. 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· 19th of 51
$200
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.