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 $41.69 Median $42.66 Typical High $48.98 | Facility | None | $41.69 | $42.66 | $48.98 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $42.66 Typical High $44.67 | Professional | None | $41.69 | $42.66 | $44.67 |
Anthem BCBS Setting Professional Modifier None Typical Low $13.18 Median $15.49 Typical High $40.74 | Professional | None | $13.18 | $15.49 | $40.74 |
CareSource Setting Facility Modifier None Typical Low $33.88 Median $40.74 Typical High $63.10 | Facility | None | $33.88 | $40.74 | $63.10 |
CareSource Setting Professional Modifier None Typical Low $35.48 Median $53.70 Typical High $66.07 | Professional | None | $35.48 | $53.70 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Facility | None | $70.79 | $70.79 | $70.79 |
Cigna Setting Professional Modifier None Typical Low $40.74 Median $47.86 Typical High $204.17 | Professional | None | $40.74 | $47.86 | $204.17 |
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 $41.69 Median $47.86 Typical High $83.18 | Professional | None | $41.69 | $47.86 | $83.18 |
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 $20.89 Median $21.38 Typical High $22.39 | Professional | 52 · Reduced service | $20.89 | $21.38 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $8.51 Typical High $8.91 | Professional | 53 · Discontinued | $8.32 | $8.51 | $8.91 |
Where Kentucky sits
The same service costs 4.4 times more in Alaska than in Missouri. 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· 46th of 51
$40.74
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.