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 $5.01 Median $5.01 Typical High $5.13 | Facility | None | $5.01 | $5.01 | $5.13 |
Aetna Setting Professional Modifier None Typical Low $5.01 Median $5.13 Typical High $5.25 | Professional | None | $5.01 | $5.13 | $5.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.27 Median $6.61 Typical High $95.50 | Professional | None | $4.27 | $6.61 | $95.50 |
CareSource Setting Facility Modifier None Typical Low $4.07 Median $4.90 Typical High $7.76 | Facility | None | $4.07 | $4.90 | $7.76 |
CareSource Setting Professional Modifier None Typical Low $4.37 Median $6.03 Typical High $7.76 | Professional | None | $4.37 | $6.03 | $7.76 |
Cigna Setting Facility Modifier None Typical Low $9.33 Median $9.33 Typical High $9.33 | Facility | None | $9.33 | $9.33 | $9.33 |
Cigna Setting Professional Modifier None Typical Low $19.50 Median $436.52 Typical High $436.52 | Professional | None | $19.50 | $436.52 | $436.52 |
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 $4.57 Median $12.02 Typical High $18.20 | Professional | None | $4.57 | $12.02 | $18.20 |
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 $2.51 Median $2.57 Typical High $2.57 | Professional | 52 · Reduced service | $2.51 | $2.57 | $2.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.00 Median $1.02 Typical High $1.05 | Professional | 53 · Discontinued | $1.00 | $1.02 | $1.05 |
Where Kentucky sits
The same service costs 3.9 times more in Indiana than in New York. 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· 37th of 51
$6.92
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.