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 $60.26 Median $81.28 Typical High $95.50 | Facility | None | $60.26 | $81.28 | $95.50 |
Aetna Setting Professional Modifier None Typical Low $60.26 Median $81.28 Typical High $95.50 | Professional | None | $60.26 | $81.28 | $95.50 |
Anthem BCBS Setting Professional Modifier None Typical Low $63.10 Median $81.28 Typical High $114.82 | Professional | None | $63.10 | $81.28 | $114.82 |
CareSource Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
CareSource Setting Professional Modifier None Typical Low $79.43 Median $97.72 Typical High $125.89 | Professional | None | $79.43 | $97.72 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $138.04 | Facility | None | $138.04 | $138.04 | $138.04 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $72.44 Typical High $134.90 | Professional | None | $54.95 | $72.44 | $134.90 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
United Setting Professional Modifier None Typical Low $87.10 Median $107.15 Typical High $186.21 | Professional | None | $87.10 | $107.15 | $186.21 |
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 $81.28 Median $95.50 Typical High $100.00 | Facility | AF · Specialist physician | $81.28 | $95.50 | $100.00 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $60.26 Median $72.44 Typical High $75.86 | Facility | HO · Master's level | $60.26 | $72.44 | $75.86 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $69.18 Median $81.28 Typical High $85.11 | Facility | TD · Registered nurse | $69.18 | $81.28 | $85.11 |
Where Kentucky sits
The same service costs 2.3 times more in Hawaii than in Arizona. 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
$81.28
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.