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 $102.33 Typical High $104.71 | Facility | None | $102.33 | $102.33 | $104.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $104.71 Typical High $109.65 | Professional | None (both parts) | $102.33 | $104.71 | $109.65 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $85.11 Median $107.15 Typical High $144.54 | Professional | None (both parts) | $85.11 | $107.15 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $147.91 Typical High $147.91 | Facility | None | $147.91 | $147.91 | $147.91 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $194.98 Typical High $512.86 | Professional | None (both parts) | $104.71 | $194.98 | $512.86 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $33.11 | $33.11 | $33.11 |
United Setting Professional Modifier None (both parts) Typical Low $91.20 Median $109.65 Typical High $213.80 | Professional | None (both parts) | $91.20 | $109.65 | $213.80 |
5 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 $51.29 Median $52.48 Typical High $57.54 | Professional | 52 · Reduced service | $51.29 | $52.48 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $20.89 Typical High $22.91 | Professional | 53 · Discontinued | $20.42 | $20.89 | $22.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $134.90 Typical High $134.90 | Professional | TC · Technical part | $93.33 | $134.90 | $134.90 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $32.36 Median $151.36 Typical High $218.78 | Facility | TC · Technical part | $32.36 | $151.36 | $218.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $223.87 Typical High $588.84 | Professional | TC · Technical part | $112.20 | $223.87 | $588.84 |
Where Kentucky sits
The same service costs 3.2 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· 45th of 51
$107
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.