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 $199.53 Median $204.17 Typical High $251.19 | Facility | None | $199.53 | $204.17 | $251.19 |
Aetna Setting Professional Modifier None Typical Low $199.53 Median $204.17 Typical High $251.19 | Professional | None | $199.53 | $204.17 | $251.19 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.51 Median $10.23 Typical High $14.45 | Professional | None | $8.51 | $10.23 | $14.45 |
CareSource Setting Facility Modifier None Typical Low $54.95 Median $87.10 Typical High $194.98 | Facility | None | $54.95 | $87.10 | $194.98 |
CareSource Setting Professional Modifier None Typical Low $208.93 Median $263.03 Typical High $316.23 | Professional | None | $208.93 | $263.03 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $512.86 | Facility | None | $371.54 | $371.54 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $1,096.48 Typical High $1,096.48 | Professional | None | $199.53 | $1,096.48 | $1,096.48 |
Molina Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $54.95 | Professional | None | $40.74 | $40.74 | $54.95 |
United Setting Professional Modifier None Typical Low $194.98 Median $251.19 Typical High $389.05 | Professional | None | $194.98 | $251.19 | $389.05 |
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 $97.72 Median $102.33 Typical High $125.89 | Professional | 52 · Reduced service | $97.72 | $102.33 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $40.74 Typical High $50.12 | Professional | 53 · Discontinued | $39.81 | $40.74 | $50.12 |
Where Kentucky sits
The same service costs 67.6 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
$12.88
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.