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 $64.57 Median $72.44 Typical High $79.43 | Facility | None | $64.57 | $72.44 | $79.43 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $69.18 Typical High $74.13 | Professional | None | $61.66 | $69.18 | $74.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $38.02 Median $47.86 Typical High $63.10 | Professional | None | $38.02 | $47.86 | $63.10 |
CareSource Setting Facility Modifier None Typical Low $52.48 Median $63.10 Typical High $100.00 | Facility | None | $52.48 | $63.10 | $100.00 |
CareSource Setting Professional Modifier None Typical Low $56.23 Median $70.79 Typical High $100.00 | Professional | None | $56.23 | $70.79 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Facility | None | $109.65 | $109.65 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $48.98 Median $67.61 Typical High $380.19 | Professional | None | $48.98 | $67.61 | $380.19 |
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 $48.98 Median $48.98 Typical High $77.62 | Professional | None | $48.98 | $48.98 | $77.62 |
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 59 · Distinct service Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | 59 · Distinct service | $104.71 | $104.71 | $104.71 |
Where Kentucky sits
The same service costs 2.8 times more in Alaska 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
$52.48
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.