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 $331.13 Median $331.13 Typical High $524.81 | Facility | None | $331.13 | $331.13 | $524.81 |
Aetna Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $524.81 | Professional | None | $331.13 | $331.13 | $524.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $371.54 Median $501.19 Typical High $741.31 | Facility | None | $371.54 | $501.19 | $741.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $331.13 Median $446.68 Typical High $446.68 | Professional | None | $331.13 | $446.68 | $446.68 |
CareSource Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $501.19 | Facility | None | $316.23 | $316.23 | $501.19 |
CareSource Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $436.52 | Professional | None | $316.23 | $316.23 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $1,778.28 | Facility | None | $416.87 | $416.87 | $1,778.28 |
Cigna Setting Professional Modifier None Typical Low $501.19 Median $1,348.96 Typical High $1,348.96 | Professional | None | $501.19 | $1,348.96 | $1,348.96 |
United Setting Professional Modifier None Typical Low $331.13 Median $371.54 Typical High $537.03 | Professional | None | $331.13 | $371.54 | $537.03 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier JZ · No drug discarded Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | JZ · No drug discarded | $354.81 | $354.81 | $354.81 |
Where Kentucky sits
The same service costs 3.5 times more in Minnesota than in Alabama. 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· 24th of 51
$447
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.