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 $11.48 Median $12.88 Typical High $15.49 | Facility | None | $11.48 | $12.88 | $15.49 |
Aetna Setting Professional Modifier None Typical Low $11.22 Median $12.59 Typical High $13.18 | Professional | None | $11.22 | $12.59 | $13.18 |
Ambetter Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $11.22 | Professional | None | $11.22 | $11.22 | $11.22 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.02 Median $15.85 Typical High $17.38 | Professional | None | $12.02 | $15.85 | $17.38 |
CareSource Setting Facility Modifier None Typical Low $9.33 Median $11.48 Typical High $15.49 | Facility | None | $9.33 | $11.48 | $15.49 |
CareSource Setting Professional Modifier None Typical Low $9.33 Median $12.59 Typical High $17.78 | Professional | None | $9.33 | $12.59 | $17.78 |
Cigna Setting Facility Modifier None Typical Low $17.78 Median $17.78 Typical High $17.78 | Facility | None | $17.78 | $17.78 | $17.78 |
Cigna Setting Professional Modifier None Typical Low $12.02 Median $13.49 Typical High $66.07 | Professional | None | $12.02 | $13.49 | $66.07 |
Molina Setting Professional Modifier None Typical Low $11.22 Median $33.11 Typical High $33.11 | Professional | None | $11.22 | $33.11 | $33.11 |
United Setting Professional Modifier None Typical Low $10.47 Median $12.30 Typical High $18.20 | Professional | None | $10.47 | $12.30 | $18.20 |
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 GA · Liability notice issued Typical Low $13.18 Median $13.18 Typical High $13.18 | Professional | GA · Liability notice issued | $13.18 | $13.18 | $13.18 |
Where Kentucky sits
The same service costs 3.2 times more in Alaska than in New York. 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· 39th of 51
$13.18
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.