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 $109.65 Median $120.23 Typical High $128.82 | Facility | None | $109.65 | $120.23 | $128.82 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $128.82 Typical High $131.83 | Professional | None | $109.65 | $128.82 | $131.83 |
Ambetter Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $158.49 | Professional | None | $112.20 | $112.20 | $158.49 |
Anthem BCBS Setting Professional Modifier None Typical Low $72.44 Median $85.11 Typical High $117.49 | Professional | None | $72.44 | $85.11 | $117.49 |
CareSource Setting Facility Modifier None Typical Low $85.11 Median $102.33 Typical High $162.18 | Facility | None | $85.11 | $102.33 | $162.18 |
CareSource Setting Professional Modifier None Typical Low $109.65 Median $125.89 Typical High $162.18 | Professional | None | $109.65 | $125.89 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Facility | None | $204.17 | $204.17 | $204.17 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $138.04 Typical High $645.65 | Professional | None | $107.15 | $138.04 | $645.65 |
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 $100.00 Median $120.23 Typical High $223.87 | Professional | None | $100.00 | $120.23 | $223.87 |
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 $54.95 Median $61.66 Typical High $66.07 | Professional | 52 · Reduced service | $54.95 | $61.66 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $24.55 Typical High $26.30 | Professional | 53 · Discontinued | $22.39 | $24.55 | $26.30 |
Where Kentucky sits
The same service costs 3.0 times more in Minnesota than in Kentucky. 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· 51st of 51
$95.50
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.