How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $51.29 Median $89.13 Typical High $165.96 | Facility | None | $51.29 | $89.13 | $165.96 |
Aetna Setting Professional Modifier None Typical Low $85.11 Median $87.10 Typical High $102.33 | Professional | None | $85.11 | $87.10 | $102.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $69.18 Median $89.13 Typical High $128.82 | Professional | None | $69.18 | $89.13 | $128.82 |
CareSource Setting Facility Modifier None Typical Low $70.79 Median $95.50 Typical High $117.49 | Facility | None | $70.79 | $95.50 | $117.49 |
CareSource Setting Professional Modifier None Typical Low $83.18 Median $93.33 Typical High $128.82 | Professional | None | $83.18 | $93.33 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $87.10 Median $134.90 Typical High $436.52 | Professional | None | $87.10 | $134.90 | $436.52 |
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 $85.11 Median $107.15 Typical High $173.78 | Professional | None | $85.11 | $107.15 | $173.78 |
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 $42.66 Median $43.65 Typical High $51.29 | Professional | 52 · Reduced service | $42.66 | $43.65 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $17.78 Typical High $20.42 | Professional | 53 · Discontinued | $17.38 | $17.78 | $20.42 |
Where Kentucky sits
The same service costs 3.8 times more in Alaska than in Utah. 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· 46th of 51
$91.20
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.