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 $16.60 Median $19.50 Typical High $19.95 | Facility | None | $16.60 | $19.50 | $19.95 |
Aetna Setting Professional Modifier None Typical Low $16.60 Median $19.50 Typical High $19.95 | Professional | None | $16.60 | $19.50 | $19.95 |
Ambetter Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | None | $19.50 | $19.50 | $19.50 |
Anthem BCBS Setting Professional Modifier None Typical Low $11.22 Median $16.22 Typical High $19.05 | Professional | None | $11.22 | $16.22 | $19.05 |
CareSource Setting Facility Modifier None Typical Low $15.85 Median $19.50 Typical High $30.20 | Facility | None | $15.85 | $19.50 | $30.20 |
CareSource Setting Professional Modifier None Typical Low $18.62 Median $26.30 Typical High $30.90 | Professional | None | $18.62 | $26.30 | $30.90 |
Cigna Setting Facility Modifier None Typical Low $14.45 Median $34.67 Typical High $34.67 | Facility | None | $14.45 | $34.67 | $34.67 |
Cigna Setting Professional Modifier None Typical Low $13.18 Median $18.20 Typical High $107.15 | Professional | None | $13.18 | $18.20 | $107.15 |
Molina Setting Professional Modifier None Typical Low $11.22 Median $33.11 Typical High $33.11 | Professional | None | $11.22 | $33.11 | $33.11 |
United Setting Professional Modifier None Typical Low $12.02 Median $13.18 Typical High $18.20 | Professional | None | $12.02 | $13.18 | $18.20 |
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 $8.32 Median $9.77 Typical High $10.00 | Professional | 52 · Reduced service | $8.32 | $9.77 | $10.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.31 Median $3.89 Typical High $3.98 | Professional | 53 · Discontinued | $3.31 | $3.89 | $3.98 |
Where Kentucky sits
The same service costs 2.6 times more in Alaska than in Florida. 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· 43rd of 51
$16.60
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.