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 $30.20 Median $79.43 Typical High $107.15 | Facility | None | $30.20 | $79.43 | $107.15 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $79.43 Typical High $81.28 | Professional | None | $67.61 | $79.43 | $81.28 |
Ambetter Setting Professional Modifier None Typical Low $100.00 Median $107.15 Typical High $107.15 | Professional | None | $100.00 | $107.15 | $107.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $28.84 Median $34.67 Typical High $56.23 | Professional | None | $28.84 | $34.67 | $56.23 |
CareSource Setting Facility Modifier None Typical Low $64.57 Median $79.43 Typical High $123.03 | Facility | None | $64.57 | $79.43 | $123.03 |
CareSource Setting Professional Modifier None Typical Low $75.86 Median $104.71 Typical High $125.89 | Professional | None | $75.86 | $104.71 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
Cigna Setting Professional Modifier None Typical Low $31.62 Median $74.13 Typical High $416.87 | Professional | None | $31.62 | $74.13 | $416.87 |
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 $31.62 Median $47.86 Typical High $72.44 | Professional | None | $31.62 | $47.86 | $72.44 |
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 $34.67 Median $39.81 Typical High $40.74 | Professional | 52 · Reduced service | $34.67 | $39.81 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $15.85 Typical High $16.22 | Professional | 53 · Discontinued | $13.80 | $15.85 | $16.22 |
Where Kentucky sits
The same service costs 4.1 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
$38.02
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.