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 $38.90 Median $40.74 Typical High $53.70 | Facility | None | $38.90 | $40.74 | $53.70 |
Aetna Setting Professional Modifier None Typical Low $38.90 Median $40.74 Typical High $53.70 | Professional | None | $38.90 | $40.74 | $53.70 |
Ambetter Setting Professional Modifier None Typical Low $34.67 Median $38.90 Typical High $52.48 | Professional | None | $34.67 | $38.90 | $52.48 |
Anthem BCBS Setting Professional Modifier None Typical Low $33.11 Median $38.90 Typical High $51.29 | Professional | None | $33.11 | $38.90 | $51.29 |
CareSource Setting Facility Modifier None Typical Low $32.36 Median $38.90 Typical High $60.26 | Facility | None | $32.36 | $38.90 | $60.26 |
CareSource Setting Professional Modifier None Typical Low $33.88 Median $46.77 Typical High $60.26 | Professional | None | $33.88 | $46.77 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Facility | None | $81.28 | $81.28 | $81.28 |
Cigna Setting Professional Modifier None Typical Low $41.69 Median $54.95 Typical High $251.19 | Professional | None | $41.69 | $54.95 | $251.19 |
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 $45.71 Median $53.70 Typical High $70.79 | Professional | None | $45.71 | $53.70 | $70.79 |
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 $19.50 Median $20.42 Typical High $25.12 | Professional | 52 · Reduced service | $19.50 | $20.42 | $25.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $8.13 Typical High $10.00 | Professional | 53 · Discontinued | $7.76 | $8.13 | $10.00 |
Where Kentucky sits
The same service costs 2.6 times more in Nebraska than in Kentucky. 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· 51st 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.