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 $3.55 Median $3.63 Typical High $7.41 | Facility | None | $3.55 | $3.63 | $7.41 |
Aetna Setting Professional Modifier None Typical Low $3.55 Median $3.63 Typical High $3.72 | Professional | None | $3.55 | $3.63 | $3.72 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.24 Median $4.17 Typical High $15.49 | Professional | None | $3.24 | $4.17 | $15.49 |
CareSource Setting Facility Modifier None Typical Low $2.88 Median $3.89 Typical High $5.50 | Facility | None | $2.88 | $3.89 | $5.50 |
CareSource Setting Professional Modifier None Typical Low $3.39 Median $3.63 Typical High $4.79 | Professional | None | $3.39 | $3.63 | $4.79 |
Cigna Setting Facility Modifier None Typical Low $7.24 Median $7.24 Typical High $7.24 | Facility | None | $7.24 | $7.24 | $7.24 |
Cigna Setting Professional Modifier None Typical Low $6.61 Median $162.18 Typical High $162.18 | Professional | None | $6.61 | $162.18 | $162.18 |
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 $3.47 Median $4.47 Typical High $6.61 | Professional | None | $3.47 | $4.47 | $6.61 |
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 $1.78 Median $1.82 Typical High $1.82 | Professional | 52 · Reduced service | $1.78 | $1.82 | $1.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.71 Median $0.72 Typical High $0.74 | Professional | 53 · Discontinued | $0.71 | $0.72 | $0.74 |
Where Kentucky sits
The same service costs 2.3 times more in Kansas than in Pennsylvania. 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· 49th of 51
$4.07
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.