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 $23.44 Median $27.54 Typical High $28.84 | Facility | None | $23.44 | $27.54 | $28.84 |
Aetna Setting Professional Modifier None Typical Low $23.44 Median $25.70 Typical High $29.51 | Professional | None | $23.44 | $25.70 | $29.51 |
Ambetter Setting Professional Modifier None Typical Low $18.62 Median $22.39 Typical High $33.11 | Professional | None | $18.62 | $22.39 | $33.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $16.22 Median $19.05 Typical High $23.99 | Professional | None | $16.22 | $19.05 | $23.99 |
CareSource Setting Facility Modifier None Typical Low $18.20 Median $21.88 Typical High $33.88 | Facility | None | $18.20 | $21.88 | $33.88 |
CareSource Setting Professional Modifier None Typical Low $21.38 Median $22.91 Typical High $29.51 | Professional | None | $21.38 | $22.91 | $29.51 |
Cigna Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Facility | None | $38.90 | $38.90 | $38.90 |
Cigna Setting Professional Modifier None Typical Low $21.88 Median $30.90 Typical High $109.65 | Professional | None | $21.88 | $30.90 | $109.65 |
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 $25.12 Median $33.11 Typical High $42.66 | Professional | None | $25.12 | $33.11 | $42.66 |
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 $11.75 Median $12.30 Typical High $14.13 | Professional | 52 · Reduced service | $11.75 | $12.30 | $14.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $5.01 Typical High $5.62 | Professional | 53 · Discontinued | $4.68 | $5.01 | $5.62 |
Where Kentucky sits
The same service costs 2.8 times more in Alaska than in Florida. 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
$22.39
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.