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 $3.98 Median $4.17 Typical High $5.75 | Facility | None | $3.98 | $4.17 | $5.75 |
Aetna Setting Professional Modifier None Typical Low $3.98 Median $4.17 Typical High $5.75 | Professional | None | $3.98 | $4.17 | $5.75 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.09 Median $4.90 Typical High $5.25 | Facility | None | $3.09 | $4.90 | $5.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.39 Median $5.89 Typical High $7.08 | Professional | None | $3.39 | $5.89 | $7.08 |
CareSource Setting Facility Modifier None Typical Low $4.90 Median $5.89 Typical High $6.92 | Facility | None | $4.90 | $5.89 | $6.92 |
CareSource Setting Professional Modifier None Typical Low $4.90 Median $6.17 Typical High $10.00 | Professional | None | $4.90 | $6.17 | $10.00 |
Cigna Setting Facility Modifier None Typical Low $3.89 Median $7.24 Typical High $10.47 | Facility | None | $3.89 | $7.24 | $10.47 |
Cigna Setting Professional Modifier None Typical Low $2.95 Median $23.99 Typical High $23.99 | Professional | None | $2.95 | $23.99 | $23.99 |
United Setting Professional Modifier None Typical Low $2.09 Median $4.17 Typical High $7.08 | Professional | None | $2.09 | $4.17 | $7.08 |
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 $2.00 Median $2.09 Typical High $2.88 | Professional | 52 · Reduced service | $2.00 | $2.09 | $2.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.79 Median $0.83 Typical High $1.15 | Professional | 53 · Discontinued | $0.79 | $0.83 | $1.15 |
Where Kentucky sits
The same service costs 3.6 times more in Alaska than in New Mexico. 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· 22nd of 51
$5.25
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.