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 $42.66 Median $218.78 Typical High $257.04 | Facility | None | $42.66 | $218.78 | $257.04 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $223.87 Typical High $263.03 | Professional | None | $61.66 | $223.87 | $263.03 |
Anthem BCBS Setting Professional Modifier None Typical Low $33.11 Median $38.90 Typical High $72.44 | Professional | None | $33.11 | $38.90 | $72.44 |
CareSource Setting Facility Modifier None Typical Low $169.82 Median $204.17 Typical High $316.23 | Facility | None | $169.82 | $204.17 | $316.23 |
CareSource Setting Professional Modifier None Typical Low $199.53 Median $213.80 Typical High $275.42 | Professional | None | $199.53 | $213.80 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Facility | None | $380.19 | $380.19 | $380.19 |
Cigna Setting Professional Modifier None Typical Low $194.98 Median $275.42 Typical High $1,174.90 | Professional | None | $194.98 | $275.42 | $1,174.90 |
Molina Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | None | $44.67 | $44.67 | $44.67 |
United Setting Professional Modifier None Typical Low $37.15 Median $50.12 Typical High $72.44 | Professional | None | $37.15 | $50.12 | $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 $107.15 Median $112.20 Typical High $131.83 | Professional | 52 · Reduced service | $107.15 | $112.20 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $44.67 Typical High $52.48 | Professional | 53 · Discontinued | $42.66 | $44.67 | $52.48 |
Where Kentucky sits
The same service costs 12.6 times more in Minnesota than in Indiana. 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· 50th of 51
$40.74
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.