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 $67.61 Median $79.43 Typical High $173.78 | Facility | None | $67.61 | $79.43 | $173.78 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $79.43 Typical High $117.49 | Professional | None | $67.61 | $79.43 | $117.49 |
Ambetter Setting Professional Modifier None Typical Low $60.26 Median $63.10 Typical High $83.18 | Professional | None | $60.26 | $63.10 | $83.18 |
Anthem BCBS Setting Professional Modifier None Typical Low $69.18 Median $87.10 Typical High $194.98 | Professional | None | $69.18 | $87.10 | $194.98 |
CareSource Setting Facility Modifier None Typical Low $52.48 Median $63.10 Typical High $97.72 | Facility | None | $52.48 | $63.10 | $97.72 |
CareSource Setting Professional Modifier None Typical Low $61.66 Median $66.07 Typical High $85.11 | Professional | None | $61.66 | $66.07 | $85.11 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $138.04 | Facility | None | $138.04 | $138.04 | $138.04 |
Cigna Setting Professional Modifier None Typical Low $64.57 Median $144.54 Typical High $691.83 | Professional | None | $64.57 | $144.54 | $691.83 |
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 $83.18 Median $144.54 Typical High $186.21 | Professional | None | $83.18 | $144.54 | $186.21 |
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 $33.88 Median $38.02 Typical High $40.74 | Professional | 52 · Reduced service | $33.88 | $38.02 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $15.14 Typical High $16.22 | Professional | 53 · Discontinued | $13.49 | $15.14 | $16.22 |
Where Kentucky sits
The same service costs 2.8 times more in Minnesota 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· 41st of 51
$87.10
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.