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 $28.18 Median $109.65 Typical High $112.20 | Facility | None | $28.18 | $109.65 | $112.20 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $112.20 Typical High $120.23 | Professional | None | $109.65 | $112.20 | $120.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $19.50 Median $23.44 Typical High $69.18 | Professional | None | $19.50 | $23.44 | $69.18 |
CareSource Setting Facility Modifier None Typical Low $89.13 Median $107.15 Typical High $169.82 | Facility | None | $89.13 | $107.15 | $169.82 |
CareSource Setting Professional Modifier None Typical Low $93.33 Median $144.54 Typical High $173.78 | Professional | None | $93.33 | $144.54 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Facility | None | $190.55 | $190.55 | $190.55 |
Cigna Setting Professional Modifier None Typical Low $112.20 Median $138.04 Typical High $588.84 | Professional | None | $112.20 | $138.04 | $588.84 |
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 $91.20 Median $109.65 Typical High $204.17 | Professional | None | $91.20 | $109.65 | $204.17 |
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 $54.95 Median $56.23 Typical High $60.26 | Professional | 52 · Reduced service | $54.95 | $56.23 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $22.39 Typical High $24.55 | Professional | 53 · Discontinued | $21.88 | $22.39 | $24.55 |
Where Kentucky sits
The same service costs 21.4 times more in Alaska than in New York. 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· 48th of 51
$69.18
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.