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 $5.50 Median $8.91 Typical High $9.33 | Facility | None | $5.50 | $8.91 | $9.33 |
Aetna Setting Professional Modifier None Typical Low $5.50 Median $8.91 Typical High $9.33 | Professional | None | $5.50 | $8.91 | $9.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $7.08 Median $11.22 Typical High $12.02 | Facility | None | $7.08 | $11.22 | $12.02 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.57 Median $3.47 Typical High $4.27 | Professional | None | $2.57 | $3.47 | $4.27 |
CareSource Setting Facility Modifier None Typical Low $10.96 Median $13.18 Typical High $15.49 | Facility | None | $10.96 | $13.18 | $15.49 |
CareSource Setting Professional Modifier None Typical Low $10.96 Median $13.80 Typical High $22.39 | Professional | None | $10.96 | $13.80 | $22.39 |
Cigna Setting Facility Modifier None Typical Low $8.91 Median $16.60 Typical High $23.44 | Facility | None | $8.91 | $16.60 | $23.44 |
Cigna Setting Professional Modifier None Typical Low $2.63 Median $54.95 Typical High $54.95 | Professional | None | $2.63 | $54.95 | $54.95 |
United Setting Professional Modifier None Typical Low $2.82 Median $3.02 Typical High $5.50 | Professional | None | $2.82 | $3.02 | $5.50 |
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 $2.75 Median $4.47 Typical High $4.68 | Professional | 52 · Reduced service | $2.75 | $4.47 | $4.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.10 Median $1.82 Typical High $1.86 | Professional | 53 · Discontinued | $1.10 | $1.82 | $1.86 |
Where Kentucky sits
The same service costs 5.2 times more in Montana than in West Virginia. 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· 44th of 51
$3.47
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.