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 $51.29 Median $63.10 Typical High $83.18 | Facility | None | $51.29 | $63.10 | $83.18 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $64.57 Typical High $75.86 | Professional | None | $51.29 | $64.57 | $75.86 |
Ambetter Setting Professional Modifier None Typical Low $52.48 Median $79.43 Typical High $89.13 | Professional | None | $52.48 | $79.43 | $89.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $33.11 Median $44.67 Typical High $60.26 | Professional | None | $33.11 | $44.67 | $60.26 |
CareSource Setting Facility Modifier None Typical Low $57.54 Median $67.61 Typical High $95.50 | Facility | None | $57.54 | $67.61 | $95.50 |
CareSource Setting Professional Modifier None Typical Low $61.66 Median $75.86 Typical High $100.00 | Professional | None | $61.66 | $75.86 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Facility | None | $120.23 | $120.23 | $120.23 |
Cigna Setting Professional Modifier None Typical Low $30.20 Median $47.86 Typical High $75.86 | Professional | None | $30.20 | $47.86 | $75.86 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $50.12 | Professional | None | $33.11 | $33.11 | $50.12 |
United Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $72.44 | Professional | None | $53.70 | $53.70 | $72.44 |
7 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 Facility Modifier AF · Specialist physician Typical Low $67.61 Median $69.18 Typical High $75.86 | Facility | AF · Specialist physician | $67.61 | $69.18 | $75.86 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $51.29 Median $51.29 Typical High $57.54 | Facility | HO · Master's level | $51.29 | $51.29 | $57.54 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $57.54 Median $58.88 Typical High $64.57 | Facility | TD · Registered nurse | $57.54 | $58.88 | $64.57 |
Aetna Setting Professional Modifier AF · Specialist physician Typical Low $47.86 Median $54.95 Typical High $75.86 | Professional | AF · Specialist physician | $47.86 | $54.95 | $75.86 |
Ambetter Setting Professional Modifier HO · Master's level Typical Low $56.23 Median $67.61 Typical High $70.79 | Professional | HO · Master's level | $56.23 | $67.61 | $70.79 |
Ambetter Setting Professional Modifier U4 · State-defined Typical Low $51.29 Median $63.10 Typical High $70.79 | Professional | U4 · State-defined | $51.29 | $63.10 | $70.79 |
Ambetter Setting Professional Modifier U8 · State-defined Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | U8 · State-defined | $61.66 | $61.66 | $61.66 |
Where Kentucky sits
The same service costs 1.9 times more in North Dakota 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
$53.70
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.