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 $19.05 Median $22.39 Typical High $22.91 | Facility | None | $19.05 | $22.39 | $22.91 |
Aetna Setting Professional Modifier None Typical Low $22.39 Median $22.91 Typical High $33.11 | Professional | None | $22.39 | $22.91 | $33.11 |
Ambetter Setting Professional Modifier None Typical Low $19.95 Median $29.51 Typical High $29.51 | Professional | None | $19.95 | $29.51 | $29.51 |
Anthem BCBS Setting Professional Modifier None Typical Low $13.80 Median $16.22 Typical High $22.39 | Professional | None | $13.80 | $16.22 | $22.39 |
CareSource Setting Facility Modifier None Typical Low $18.20 Median $22.39 Typical High $33.88 | Facility | None | $18.20 | $22.39 | $33.88 |
CareSource Setting Professional Modifier None Typical Low $21.38 Median $23.44 Typical High $31.62 | Professional | None | $21.38 | $23.44 | $31.62 |
Cigna Setting Facility Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15 | Facility | None | $37.15 | $37.15 | $37.15 |
Cigna Setting Professional Modifier None Typical Low $17.38 Median $23.44 Typical High $114.82 | Professional | None | $17.38 | $23.44 | $114.82 |
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 $16.22 Median $20.89 Typical High $37.15 | Professional | None | $16.22 | $20.89 | $37.15 |
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 $10.96 Median $11.48 Typical High $11.48 | Professional | 52 · Reduced service | $10.96 | $11.48 | $11.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.47 Median $4.57 Typical High $4.68 | Professional | 53 · Discontinued | $4.47 | $4.57 | $4.68 |
Where Kentucky sits
The same service costs 2.8 times more in Alaska than in Kentucky. 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· 51st of 51
$19.05
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.