How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $91.20 Median $112.20 Typical High $141.25 | Facility | None | $91.20 | $112.20 | $141.25 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $58.88 Median $63.10 Typical High $70.79 | Facility | 52 · Reduced service | $58.88 | $63.10 | $70.79 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $23.44 Median $25.12 Typical High $28.18 | Facility | 53 · Discontinued | $23.44 | $25.12 | $28.18 |
Aetna Setting Professional Modifier None Typical Low $91.20 Median $107.15 Typical High $131.83 | Professional | None | $91.20 | $107.15 | $131.83 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $58.88 Median $61.66 Typical High $69.18 | Professional | 52 · Reduced service | $58.88 | $61.66 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $24.55 Typical High $28.18 | Professional | 53 · Discontinued | $23.44 | $24.55 | $28.18 |
Ambetter Setting Professional Modifier None Typical Low $109.65 Median $112.20 Typical High $112.20 | Professional | None | $109.65 | $112.20 | $112.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $75.86 Median $85.11 Typical High $120.23 | Professional | None | $75.86 | $85.11 | $120.23 |
CareSource Setting Facility Modifier None Typical Low $95.50 Median $128.82 Typical High $181.97 | Facility | None | $95.50 | $128.82 | $181.97 |
CareSource Setting Professional Modifier None Typical Low $95.50 Median $128.82 Typical High $181.97 | Professional | None | $95.50 | $128.82 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Facility | None | $181.97 | $181.97 | $181.97 |
Cigna Setting Professional Modifier None Typical Low $114.82 Median $141.25 Typical High $602.56 | Professional | None | $114.82 | $141.25 | $602.56 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $77.62 | Professional | None | $33.11 | $33.11 | $77.62 |
United Setting Professional Modifier None Typical Low $114.82 Median $138.04 Typical High $239.88 | Professional | None | $114.82 | $138.04 | $239.88 |
3 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 Facility Modifier AF · Specialist physician Typical Low $117.49 Median $120.23 Typical High $131.83 | Facility | AF · Specialist physician | $117.49 | $120.23 | $131.83 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $89.13 Median $91.20 Typical High $97.72 | Facility | HO · Master's level | $89.13 | $91.20 | $97.72 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $100.00 Median $102.33 Typical High $109.65 | Facility | TD · Registered nurse | $100.00 | $102.33 | $109.65 |
Where Kentucky sits
The same service costs 2.4 times more in Alaska than in Ohio. 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
$102
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.