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 $102.33 Median $104.71 Typical High $120.23 | Facility | None | $102.33 | $104.71 | $120.23 |
Aetna Setting Professional Modifier None Typical Low $100.00 Median $102.33 Typical High $120.23 | Professional | None | $100.00 | $102.33 | $120.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $50.12 Median $51.29 Typical High $58.88 | Professional | 52 · Reduced service | $50.12 | $51.29 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $20.42 Typical High $23.44 | Professional | 53 · Discontinued | $19.95 | $20.42 | $23.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $72.44 Median $85.11 Typical High $109.65 | Professional | None | $72.44 | $85.11 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $151.36 Typical High $151.36 | Facility | None | $117.49 | $151.36 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $100.00 Median $151.36 Typical High $512.86 | Professional | None | $100.00 | $151.36 | $512.86 |
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 $102.33 Median $117.49 Typical High $213.80 | Professional | None | $102.33 | $117.49 | $213.80 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier GC · Resident with teaching physician Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | GC · Resident with teaching physician | $107.15 | $107.15 | $107.15 |
Where Kentucky sits
The same service costs 2.7 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· 50th of 51
$100
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.