How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $26.30 Median $31.62 Typical High $39.81 | Facility | None | $26.30 | $31.62 | $39.81 |
Aetna Setting Professional Modifier None Typical Low $24.55 Median $30.20 Typical High $37.15 | Professional | None | $24.55 | $30.20 | $37.15 |
Ambetter Setting Professional Modifier None Typical Low $33.11 Median $38.90 Typical High $54.95 | Professional | None | $33.11 | $38.90 | $54.95 |
Anthem BCBS Setting Professional Modifier None Typical Low $20.89 Median $26.92 Typical High $38.90 | Professional | None | $20.89 | $26.92 | $38.90 |
CareSource Setting Facility Modifier None Typical Low $22.39 Median $28.18 Typical High $38.90 | Facility | None | $22.39 | $28.18 | $38.90 |
CareSource Setting Professional Modifier None Typical Low $36.31 Median $37.15 Typical High $47.86 | Professional | None | $36.31 | $37.15 | $47.86 |
Cigna Setting Facility Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15 | Facility | None | $37.15 | $37.15 | $37.15 |
Cigna Setting Professional Modifier None Typical Low $28.84 Median $37.15 Typical High $199.53 | Professional | None | $28.84 | $37.15 | $199.53 |
Molina Setting Professional Modifier None Typical Low $22.91 Median $33.11 Typical High $33.11 | Professional | None | $22.91 | $33.11 | $33.11 |
United Setting Professional Modifier None Typical Low $28.18 Median $36.31 Typical High $47.86 | Professional | None | $28.18 | $36.31 | $47.86 |
4 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 Facility Modifier 52 · Reduced service Typical Low $12.88 Median $15.85 Typical High $19.95 | Facility | 52 · Reduced service | $12.88 | $15.85 | $19.95 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $5.25 Median $6.31 Typical High $7.94 | Facility | 53 · Discontinued | $5.25 | $6.31 | $7.94 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.02 Median $15.14 Typical High $16.98 | Professional | 52 · Reduced service | $12.02 | $15.14 | $16.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.79 Median $6.03 Typical High $6.76 | Professional | 53 · Discontinued | $4.79 | $6.03 | $6.76 |
Where Kentucky sits
The same service costs 2.4 times more in Alaska than in New Jersey. 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· 50th of 51
$31.62
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.