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 $9.55 Median $11.48 Typical High $13.49 | Facility | None | $9.55 | $11.48 | $13.49 |
Aetna Setting Professional Modifier None Typical Low $9.55 Median $11.48 Typical High $13.80 | Professional | None | $9.55 | $11.48 | $13.80 |
Ambetter Setting Professional Modifier None Typical Low $10.96 Median $14.45 Typical High $20.42 | Professional | None | $10.96 | $14.45 | $20.42 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.23 Median $12.88 Typical High $14.79 | Professional | None | $10.23 | $12.88 | $14.79 |
CareSource Setting Facility Modifier None Typical Low $8.71 Median $10.96 Typical High $15.14 | Facility | None | $8.71 | $10.96 | $15.14 |
CareSource Setting Professional Modifier None Typical Low $13.18 Median $13.49 Typical High $17.38 | Professional | None | $13.18 | $13.49 | $17.38 |
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 $10.96 Median $13.80 Typical High $74.13 | Professional | None | $10.96 | $13.80 | $74.13 |
Molina Setting Professional Modifier None Typical Low $8.71 Median $33.11 Typical High $33.11 | Professional | None | $8.71 | $33.11 | $33.11 |
United Setting Professional Modifier None Typical Low $11.22 Median $13.49 Typical High $16.60 | Professional | None | $11.22 | $13.49 | $16.60 |
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 25 · Same-day visit Typical Low $16.60 Median $21.88 Typical High $21.88 | Professional | 25 · Same-day visit | $16.60 | $21.88 | $21.88 |
Ambetter Setting Professional Modifier SA · Nurse practitioner Typical Low $10.72 Median $12.30 Typical High $12.30 | Professional | SA · Nurse practitioner | $10.72 | $12.30 | $12.30 |
Where Kentucky sits
The same service costs 2.8 times more in Alaska than in Washington, DC. 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· 41st of 51
$12.88
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.