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 $229.09 Typical High $263.03 | Facility | None | $42.66 | $229.09 | $263.03 |
Aetna Setting Professional Modifier None Typical Low $58.88 Median $234.42 Typical High $269.15 | Professional | None | $58.88 | $234.42 | $269.15 |
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 $173.78 Median $213.80 Typical High $331.13 | Facility | None | $173.78 | $213.80 | $331.13 |
CareSource Setting Professional Modifier None Typical Low $204.17 Median $218.78 Typical High $288.40 | Professional | None | $204.17 | $218.78 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $288.40 Typical High $1,230.27 | Professional | None | $204.17 | $288.40 | $1,230.27 |
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 $109.65 Median $117.49 Typical High $134.90 | Professional | 52 · Reduced service | $109.65 | $117.49 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $46.77 Typical High $54.95 | Professional | 53 · Discontinued | $43.65 | $46.77 | $54.95 |
Where Kentucky sits
The same service costs 13.5 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.