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 $39.81 Median $41.69 Typical High $46.77 | Facility | None | $39.81 | $41.69 | $46.77 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $41.69 Typical High $42.66 | Professional | None | $39.81 | $41.69 | $42.66 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.61 Median $7.76 Typical High $35.48 | Professional | None | $6.61 | $7.76 | $35.48 |
CareSource Setting Facility Modifier None Typical Low $33.11 Median $38.90 Typical High $61.66 | Facility | None | $33.11 | $38.90 | $61.66 |
CareSource Setting Professional Modifier None Typical Low $34.67 Median $53.70 Typical High $63.10 | Professional | None | $34.67 | $53.70 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Facility | None | $66.07 | $66.07 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $38.90 Median $46.77 Typical High $190.55 | Professional | None | $38.90 | $46.77 | $190.55 |
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 $39.81 Median $45.71 Typical High $79.43 | Professional | None | $39.81 | $45.71 | $79.43 |
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 $19.95 Median $20.42 Typical High $21.38 | Professional | 52 · Reduced service | $19.95 | $20.42 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $8.32 Typical High $8.51 | Professional | 53 · Discontinued | $7.94 | $8.32 | $8.51 |
Where Kentucky sits
The same service costs 6.0 times more in Alaska than in Ohio. 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· 44th of 51
$37.15
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.