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 $18.62 Median $39.81 Typical High $41.69 | Facility | None | $18.62 | $39.81 | $41.69 |
Aetna Setting Professional Modifier None Typical Low $34.67 Median $39.81 Typical High $41.69 | Professional | None | $34.67 | $39.81 | $41.69 |
Anthem BCBS Setting Professional Modifier None Typical Low $16.98 Median $21.38 Typical High $26.30 | Professional | None | $16.98 | $21.38 | $26.30 |
CareSource Setting Facility Modifier None Typical Low $33.11 Median $39.81 Typical High $61.66 | Facility | None | $33.11 | $39.81 | $61.66 |
CareSource Setting Professional Modifier None Typical Low $38.02 Median $53.70 Typical High $63.10 | Professional | None | $38.02 | $53.70 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Facility | None | $66.07 | $66.07 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $18.62 Median $37.15 Typical High $204.17 | Professional | None | $18.62 | $37.15 | $204.17 |
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 $18.20 Median $24.55 Typical High $36.31 | Professional | None | $18.20 | $24.55 | $36.31 |
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 $17.38 Median $19.95 Typical High $20.42 | Professional | 52 · Reduced service | $17.38 | $19.95 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $7.94 Typical High $8.32 | Professional | 53 · Discontinued | $6.92 | $7.94 | $8.32 |
Where Kentucky sits
The same service costs 3.5 times more in Alaska than in Kentucky. 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· 51st of 51
$21.38
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.