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 $25.70 Median $25.70 Typical High $38.90 | Facility | None | $25.70 | $25.70 | $38.90 |
Aetna Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $26.30 | Professional | None | $25.70 | $25.70 | $26.30 |
Anthem BCBS Setting Facility Modifier None Typical Low $28.18 Median $30.20 Typical High $60.26 | Facility | None | $28.18 | $30.20 | $60.26 |
Anthem BCBS Setting Professional Modifier None Typical Low $23.99 Median $25.70 Typical High $34.67 | Professional | None | $23.99 | $25.70 | $34.67 |
CareSource Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $41.69 | Facility | None | $25.70 | $25.70 | $41.69 |
CareSource Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $29.51 | Professional | None | $25.70 | $25.70 | $29.51 |
Cigna Setting Facility Modifier None Typical Low $25.70 Median $34.67 Typical High $89.13 | Facility | None | $25.70 | $34.67 | $89.13 |
Cigna Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $109.65 | Professional | None | $25.70 | $25.70 | $109.65 |
Molina Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $33.88 | Professional | None | $25.70 | $25.70 | $33.88 |
United Setting Professional Modifier None Typical Low $25.70 Median $27.54 Typical High $28.84 | Professional | None | $25.70 | $27.54 | $28.84 |
5 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 $12.88 Median $12.88 Typical High $12.88 | Professional | 52 · Reduced service | $12.88 | $12.88 | $12.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $5.13 Typical High $5.13 | Professional | 53 · Discontinued | $5.13 | $5.13 | $5.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.89 Median $3.89 Typical High $3.89 | Professional | 55 · Aftercare only | $3.89 | $3.89 | $3.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.57 Median $2.57 Typical High $2.57 | Professional | 56 · Pre-op care only | $2.57 | $2.57 | $2.57 |
Ambetter Setting Professional Modifier JZ · No drug discarded Typical Low $25.70 Median $33.88 Typical High $33.88 | Professional | JZ · No drug discarded | $25.70 | $33.88 | $33.88 |
Where Kentucky sits
Rates are fairly even across states for this service. 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· 47th of 51
$25.70
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.