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 $4.57 Median $12.88 Typical High $15.14 | Facility | None | $4.57 | $12.88 | $15.14 |
Aetna Setting Professional Modifier None Typical Low $4.57 Median $14.13 Typical High $18.20 | Professional | None | $4.57 | $14.13 | $18.20 |
Ambetter Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $9.33 | Professional | None | $9.33 | $9.33 | $9.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $11.48 Median $18.62 Typical High $19.50 | Facility | None | $11.48 | $18.62 | $19.50 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.02 Median $4.57 Typical High $5.89 | Professional | None | $3.02 | $4.57 | $5.89 |
CareSource Setting Facility Modifier None Typical Low $18.20 Median $21.88 Typical High $25.70 | Facility | None | $18.20 | $21.88 | $25.70 |
CareSource Setting Professional Modifier None Typical Low $18.20 Median $22.91 Typical High $36.31 | Professional | None | $18.20 | $22.91 | $36.31 |
Cigna Setting Facility Modifier None Typical Low $14.45 Median $26.92 Typical High $38.90 | Facility | None | $14.45 | $26.92 | $38.90 |
Cigna Setting Professional Modifier None Typical Low $8.91 Median $89.13 Typical High $89.13 | Professional | None | $8.91 | $89.13 | $89.13 |
United Setting Professional Modifier None Typical Low $4.90 Median $6.03 Typical High $15.14 | Professional | None | $4.90 | $6.03 | $15.14 |
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 $2.29 Median $7.08 Typical High $8.32 | Professional | 52 · Reduced service | $2.29 | $7.08 | $8.32 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.91 Median $2.82 Typical High $3.31 | Professional | 53 · Discontinued | $0.91 | $2.82 | $3.31 |
Where Kentucky sits
The same service costs 4.8 times more in Montana 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
$5.01
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.