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 $72.44 Median $83.18 Typical High $97.72 | Facility | None | $72.44 | $83.18 | $97.72 |
Aetna Setting Professional Modifier None Typical Low $72.44 Median $83.18 Typical High $97.72 | Professional | None | $72.44 | $83.18 | $97.72 |
Ambetter Setting Professional Modifier None Typical Low $70.79 Median $77.62 Typical High $112.20 | Professional | None | $70.79 | $77.62 | $112.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $54.95 Median $72.44 Typical High $102.33 | Professional | None | $54.95 | $72.44 | $102.33 |
CareSource Setting Facility Modifier None Typical Low $83.18 Median $97.72 Typical High $134.90 | Facility | None | $83.18 | $97.72 | $134.90 |
CareSource Setting Professional Modifier None Typical Low $77.62 Median $97.72 Typical High $131.83 | Professional | None | $77.62 | $97.72 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $67.61 Typical High $123.03 | Professional | None | $54.95 | $67.61 | $123.03 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $66.07 | Professional | None | $33.11 | $33.11 | $66.07 |
United Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $112.20 | Professional | None | $83.18 | $83.18 | $112.20 |
3 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 $95.50 Median $97.72 Typical High $97.72 | Facility | AF · Specialist physician | $95.50 | $97.72 | $97.72 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $72.44 Median $72.44 Typical High $72.44 | Facility | HO · Master's level | $72.44 | $72.44 | $72.44 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $81.28 Median $83.18 Typical High $83.18 | Facility | TD · Registered nurse | $81.28 | $83.18 | $83.18 |
Where Kentucky sits
The same service costs 1.8 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· 42nd of 51
$83.18
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.