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 Professional Modifier None Typical Low $147.91 Median $162.18 Typical High $776.25 | Professional | None | $147.91 | $162.18 | $776.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $125.89 Median $169.82 Typical High $331.13 | Professional | None | $125.89 | $169.82 | $331.13 |
CareSource Setting Facility Modifier None Typical Low $100.00 Median $120.23 Typical High $186.21 | Facility | None | $100.00 | $120.23 | $186.21 |
CareSource Setting Professional Modifier None Typical Low $117.49 Median $125.89 Typical High $162.18 | Professional | None | $117.49 | $125.89 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04 | Facility | None | $257.04 | $257.04 | $257.04 |
Cigna Setting Professional Modifier None Typical Low $257.04 Median $776.25 Typical High $776.25 | Professional | None | $257.04 | $776.25 | $776.25 |
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 $151.36 Median $234.42 Typical High $295.12 | Professional | None | $151.36 | $234.42 | $295.12 |
3 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 Facility Modifier 53 · Discontinued Typical Low $19.50 Median $25.70 Typical High $30.20 | Facility | 53 · Discontinued | $19.50 | $25.70 | $30.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $64.57 Median $72.44 Typical High $77.62 | Professional | 52 · Reduced service | $64.57 | $72.44 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $28.84 Typical High $30.90 | Professional | 53 · Discontinued | $25.70 | $28.84 | $30.90 |
Where Kentucky sits
The same service costs 5.0 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· 39th of 51
$174
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.