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 $34.67 Median $67.61 Typical High $69.18 | Facility | None | $34.67 | $67.61 | $69.18 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $69.18 Typical High $70.79 | Professional | None | $67.61 | $69.18 | $70.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.77 Median $11.48 Typical High $34.67 | Professional | None | $9.77 | $11.48 | $34.67 |
CareSource Setting Facility Modifier None Typical Low $54.95 Median $66.07 Typical High $102.33 | Facility | None | $54.95 | $66.07 | $102.33 |
CareSource Setting Professional Modifier None Typical Low $57.54 Median $87.10 Typical High $107.15 | Professional | None | $57.54 | $87.10 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $117.49 | Facility | None | $117.49 | $117.49 | $117.49 |
Cigna Setting Professional Modifier None Typical Low $66.07 Median $81.28 Typical High $363.08 | Professional | None | $66.07 | $81.28 | $363.08 |
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 $30.20 Median $38.02 Typical High $107.15 | Professional | None | $30.20 | $38.02 | $107.15 |
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 $33.11 Median $34.67 Typical High $35.48 | Professional | 52 · Reduced service | $33.11 | $34.67 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $13.80 Typical High $14.13 | Professional | 53 · Discontinued | $13.49 | $13.80 | $14.13 |
Where Kentucky sits
The same service costs 6.6 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· 49th of 51
$32.36
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.