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 $23.99 Typical High $31.62 | Facility | None | $23.44 | $23.99 | $31.62 |
Aetna Setting Professional Modifier None Typical Low $23.44 Median $23.44 Typical High $25.12 | Professional | None | $23.44 | $23.44 | $25.12 |
Ambetter Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | None | $23.99 | $23.99 | $23.99 |
Anthem BCBS Setting Professional Modifier None Typical Low $21.38 Median $26.30 Typical High $32.36 | Professional | None | $21.38 | $26.30 | $32.36 |
CareSource Setting Facility Modifier None Typical Low $19.05 Median $22.91 Typical High $36.31 | Facility | None | $19.05 | $22.91 | $36.31 |
CareSource Setting Professional Modifier None Typical Low $19.05 Median $28.18 Typical High $36.31 | Professional | None | $19.05 | $28.18 | $36.31 |
Cigna Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Facility | None | $41.69 | $41.69 | $41.69 |
Cigna Setting Professional Modifier None Typical Low $22.91 Median $30.20 Typical High $120.23 | Professional | None | $22.91 | $30.20 | $120.23 |
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 $21.88 Median $25.12 Typical High $39.81 | Professional | None | $21.88 | $25.12 | $39.81 |
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 $11.75 Typical High $12.30 | Professional | 52 · Reduced service | $11.75 | $11.75 | $12.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $4.68 Typical High $4.90 | Professional | 53 · Discontinued | $4.68 | $4.68 | $4.90 |
Where Kentucky sits
The same service costs 2.6 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· 41st of 51
$26.30
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.