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 $56.23 Median $57.54 Typical High $63.10 | Facility | None | $56.23 | $57.54 | $63.10 |
Aetna Setting Professional Modifier None Typical Low $54.95 Median $57.54 Typical High $63.10 | Professional | None | $54.95 | $57.54 | $63.10 |
Ambetter Setting Professional Modifier None Typical Low $63.10 Median $72.44 Typical High $72.44 | Professional | None | $63.10 | $72.44 | $72.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $42.66 Median $56.23 Typical High $61.66 | Professional | None | $42.66 | $56.23 | $61.66 |
CareSource Setting Facility Modifier None Typical Low $45.71 Median $54.95 Typical High $85.11 | Facility | None | $45.71 | $54.95 | $85.11 |
CareSource Setting Professional Modifier None Typical Low $45.71 Median $53.70 Typical High $72.44 | Professional | None | $45.71 | $53.70 | $72.44 |
Cigna Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $93.33 | Facility | None | $93.33 | $93.33 | $93.33 |
Cigna Setting Professional Modifier None Typical Low $56.23 Median $74.13 Typical High $263.03 | Professional | None | $56.23 | $74.13 | $263.03 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $34.67 | Professional | None | $33.11 | $33.11 | $34.67 |
United Setting Professional Modifier None Typical Low $53.70 Median $63.10 Typical High $102.33 | Professional | None | $53.70 | $63.10 | $102.33 |
1 more rate 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 53 · Discontinued Typical Low $10.96 Median $11.48 Typical High $12.59 | Professional | 53 · Discontinued | $10.96 | $11.48 | $12.59 |
Where Kentucky sits
The same service costs 3.1 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· 49th of 51
$56.23
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.