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 $19.05 Median $20.89 Typical High $29.51 | Facility | None | $19.05 | $20.89 | $29.51 |
Aetna Setting Professional Modifier None Typical Low $19.05 Median $20.89 Typical High $22.91 | Professional | None | $19.05 | $20.89 | $22.91 |
Anthem BCBS Setting Professional Modifier None Typical Low $17.38 Median $21.88 Typical High $30.20 | Professional | None | $17.38 | $21.88 | $30.20 |
Cigna Setting Facility Modifier None Typical Low $22.91 Median $28.84 Typical High $39.81 | Facility | None | $22.91 | $28.84 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $18.62 Median $21.38 Typical High $107.15 | Professional | None | $18.62 | $21.38 | $107.15 |
United Setting Professional Modifier None Typical Low $18.20 Median $22.39 Typical High $38.02 | Professional | None | $18.20 | $22.39 | $38.02 |
4 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 52 · Reduced service Typical Low $9.55 Median $10.47 Typical High $14.79 | Facility | 52 · Reduced service | $9.55 | $10.47 | $14.79 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.80 Median $4.17 Typical High $5.89 | Facility | 53 · Discontinued | $3.80 | $4.17 | $5.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $9.55 Median $10.47 Typical High $10.96 | Professional | 52 · Reduced service | $9.55 | $10.47 | $10.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.80 Median $4.17 Typical High $4.37 | Professional | 53 · Discontinued | $3.80 | $4.17 | $4.37 |
Where Kentucky sits
The same service costs 3.5 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· 42nd of 51
$21.88
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.