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 $398.11 Median $398.11 Typical High $407.38 | Facility | None | $398.11 | $398.11 | $407.38 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $407.38 Typical High $426.58 | Professional | None | $398.11 | $407.38 | $426.58 |
Anthem BCBS Setting Professional Modifier None Typical Low $16.98 Median $20.42 Typical High $28.84 | Professional | None | $16.98 | $20.42 | $28.84 |
CareSource Setting Facility Modifier None Typical Low $120.23 Median $190.55 Typical High $389.05 | Facility | None | $120.23 | $190.55 | $389.05 |
CareSource Setting Professional Modifier None Typical Low $416.87 Median $537.03 Typical High $630.96 | Professional | None | $416.87 | $537.03 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $741.31 Typical High $741.31 | Facility | None | $467.74 | $741.31 | $741.31 |
Cigna Setting Professional Modifier None Typical Low $398.11 Median $2,238.72 Typical High $2,238.72 | Professional | None | $398.11 | $2,238.72 | $2,238.72 |
Molina Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $120.23 | Professional | None | $89.13 | $89.13 | $120.23 |
United Setting Professional Modifier None Typical Low $389.05 Median $537.03 Typical High $776.25 | Professional | None | $389.05 | $537.03 | $776.25 |
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 $199.53 Median $204.17 Typical High $251.19 | Professional | 52 · Reduced service | $199.53 | $204.17 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $81.28 Typical High $100.00 | Professional | 53 · Discontinued | $79.43 | $81.28 | $100.00 |
Where Kentucky sits
The same service costs 70.8 times more in Alaska 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
$24.55
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.