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 $14.45 Median $15.85 Typical High $16.60 | Facility | None | $14.45 | $15.85 | $16.60 |
Aetna Setting Professional Modifier None Typical Low $14.45 Median $16.60 Typical High $19.50 | Professional | None | $14.45 | $16.60 | $19.50 |
Anthem BCBS Setting Facility Modifier None Typical Low $12.30 Median $19.50 Typical High $20.42 | Facility | None | $12.30 | $19.50 | $20.42 |
Anthem BCBS Setting Professional Modifier None Typical Low $13.18 Median $17.78 Typical High $28.84 | Professional | None | $13.18 | $17.78 | $28.84 |
CareSource Setting Facility Modifier None Typical Low $17.78 Median $19.95 Typical High $27.54 | Facility | None | $17.78 | $19.95 | $27.54 |
CareSource Setting Professional Modifier None Typical Low $20.89 Median $24.55 Typical High $32.36 | Professional | None | $20.89 | $24.55 | $32.36 |
Cigna Setting Facility Modifier None Typical Low $15.14 Median $28.84 Typical High $41.69 | Facility | None | $15.14 | $28.84 | $41.69 |
Cigna Setting Professional Modifier None Typical Low $10.00 Median $575.44 Typical High $575.44 | Professional | None | $10.00 | $575.44 | $575.44 |
United Setting Professional Modifier None Typical Low $8.32 Median $17.38 Typical High $38.02 | Professional | None | $8.32 | $17.38 | $38.02 |
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 $7.24 Median $8.32 Typical High $9.77 | Professional | 52 · Reduced service | $7.24 | $8.32 | $9.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.88 Median $3.31 Typical High $3.89 | Professional | 53 · Discontinued | $2.88 | $3.31 | $3.89 |
Where Kentucky sits
The same service costs 3.2 times more in Alaska than in Nebraska. 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· 37th of 51
$17.78
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.