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 $16.98 Median $19.95 Typical High $51.29 | Facility | None | $16.98 | $19.95 | $51.29 |
Aetna Setting Professional Modifier None Typical Low $16.98 Median $19.95 Typical High $34.67 | Professional | None | $16.98 | $19.95 | $34.67 |
Ambetter Setting Professional Modifier None Typical Low $16.22 Median $20.42 Typical High $22.39 | Professional | None | $16.22 | $20.42 | $22.39 |
Anthem BCBS Setting Professional Modifier None Typical Low $19.95 Median $25.70 Typical High $57.54 | Professional | None | $19.95 | $25.70 | $57.54 |
CareSource Setting Facility Modifier None Typical Low $12.88 Median $17.78 Typical High $24.55 | Facility | None | $12.88 | $17.78 | $24.55 |
CareSource Setting Professional Modifier None Typical Low $15.49 Median $16.22 Typical High $21.38 | Professional | None | $15.49 | $16.22 | $21.38 |
Cigna Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $204.17 Typical High $204.17 | Professional | None | $61.66 | $204.17 | $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 $23.44 Median $41.69 Typical High $54.95 | Professional | None | $23.44 | $41.69 | $54.95 |
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 $8.51 Median $9.55 Typical High $10.00 | Professional | 52 · Reduced service | $8.51 | $9.55 | $10.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.39 Median $3.80 Typical High $4.07 | Professional | 53 · Discontinued | $3.39 | $3.80 | $4.07 |
Where Kentucky sits
The same service costs 3.0 times more in Minnesota than in Pennsylvania. 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
$25.70
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.