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 $35.48 Median $35.48 Typical High $36.31 | Facility | None | $35.48 | $35.48 | $36.31 |
Aetna Setting Professional Modifier None Typical Low $34.67 Median $36.31 Typical High $46.77 | Professional | None | $34.67 | $36.31 | $46.77 |
Anthem BCBS Setting Professional Modifier None Typical Low $31.62 Median $54.95 Typical High $239.88 | Professional | None | $31.62 | $54.95 | $239.88 |
CareSource Setting Facility Modifier None Typical Low $28.84 Median $34.67 Typical High $53.70 | Facility | None | $28.84 | $34.67 | $53.70 |
CareSource Setting Professional Modifier None Typical Low $33.88 Median $46.77 Typical High $56.23 | Professional | None | $33.88 | $46.77 | $56.23 |
Cigna Setting Facility Modifier None Typical Low $41.69 Median $51.29 Typical High $72.44 | Facility | None | $41.69 | $51.29 | $72.44 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $54.95 Typical High $194.98 | Professional | None | $34.67 | $54.95 | $194.98 |
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 $35.48 Median $40.74 Typical High $63.10 | Professional | None | $35.48 | $40.74 | $63.10 |
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 $17.38 Typical High $20.42 | Professional | 52 · Reduced service | $17.38 | $17.38 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $7.08 Typical High $8.13 | Professional | 53 · Discontinued | $6.92 | $7.08 | $8.13 |
Where Kentucky sits
The same service costs 2.7 times more in Alaska than in New York. 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· 37th of 51
$41.69
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.