How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $64.57 Typical High $125.89 | Facility | None | $64.57 | $64.57 | $125.89 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $91.20 | Professional | None | $64.57 | $64.57 | $91.20 |
Ambetter Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | None | $64.57 | $64.57 | $64.57 |
Anthem BCBS Setting Professional Modifier None Typical Low $53.70 Median $63.10 Typical High $107.15 | Professional | None | $53.70 | $63.10 | $107.15 |
CareSource Setting Facility Modifier None Typical Low $50.12 Median $61.66 Typical High $95.50 | Facility | None | $50.12 | $61.66 | $95.50 |
CareSource Setting Professional Modifier None Typical Low $58.88 Median $63.10 Typical High $79.43 | Professional | None | $58.88 | $63.10 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $112.20 | Facility | None | $112.20 | $112.20 | $112.20 |
Cigna Setting Professional Modifier None Typical Low $53.70 Median $67.61 Typical High $346.74 | Professional | None | $53.70 | $67.61 | $346.74 |
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 $60.26 Median $66.07 Typical High $93.33 | Professional | None | $60.26 | $66.07 | $93.33 |
2 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | 59 · Distinct service | $64.57 | $64.57 | $64.57 |
Ambetter Setting Professional Modifier 76 · Repeat, same provider Typical Low $56.23 Median $64.57 Typical High $66.07 | Professional | 76 · Repeat, same provider | $56.23 | $64.57 | $66.07 |
Where Kentucky sits
The same service costs 3.0 times more in Alaska than in Florida. 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· 49th of 51
$64.57
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.