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 $16.22 Median $28.18 Typical High $28.84 | Facility | None | $16.22 | $28.18 | $28.84 |
Aetna Setting Professional Modifier None Typical Low $25.70 Median $28.18 Typical High $28.84 | Professional | None | $25.70 | $28.18 | $28.84 |
Anthem BCBS Setting Professional Modifier None Typical Low $14.45 Median $17.78 Typical High $20.89 | Professional | None | $14.45 | $17.78 | $20.89 |
CareSource Setting Facility Modifier None Typical Low $22.91 Median $27.54 Typical High $42.66 | Facility | None | $22.91 | $27.54 | $42.66 |
CareSource Setting Professional Modifier None Typical Low $29.51 Median $38.02 Typical High $44.67 | Professional | None | $29.51 | $38.02 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $47.86 Median $47.86 Typical High $47.86 | Facility | None | $47.86 | $47.86 | $47.86 |
Cigna Setting Professional Modifier None Typical Low $15.49 Median $26.92 Typical High $151.36 | Professional | None | $15.49 | $26.92 | $151.36 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
United Setting Professional Modifier None Typical Low $15.14 Median $18.62 Typical High $26.92 | Professional | None | $15.14 | $18.62 | $26.92 |
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 $12.88 Median $14.13 Typical High $14.45 | Professional | 52 · Reduced service | $12.88 | $14.13 | $14.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $5.62 Typical High $5.75 | Professional | 53 · Discontinued | $5.13 | $5.62 | $5.75 |
Where Kentucky sits
The same service costs 3.3 times more in Alaska than in South Carolina. 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· 50th of 51
$18.62
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.