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 $39.81 Median $51.29 Typical High $60.26 | Facility | None | $39.81 | $51.29 | $60.26 |
Aetna Setting Professional Modifier None Typical Low $38.90 Median $50.12 Typical High $60.26 | Professional | None | $38.90 | $50.12 | $60.26 |
Ambetter Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | None | $48.98 | $48.98 | $48.98 |
Anthem BCBS Setting Professional Modifier None Typical Low $41.69 Median $51.29 Typical High $69.18 | Professional | None | $41.69 | $51.29 | $69.18 |
CareSource Setting Facility Modifier None Typical Low $50.12 Median $60.26 Typical High $93.33 | Facility | None | $50.12 | $60.26 | $93.33 |
CareSource Setting Professional Modifier None Typical Low $54.95 Median $67.61 Typical High $93.33 | Professional | None | $54.95 | $67.61 | $93.33 |
Cigna Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
Cigna Setting Professional Modifier None Typical Low $56.23 Median $57.54 Typical High $323.59 | Professional | None | $56.23 | $57.54 | $323.59 |
Molina Setting Professional Modifier None Typical Low $20.89 Median $44.67 Typical High $56.23 | Professional | None | $20.89 | $44.67 | $56.23 |
United Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $70.79 | Professional | None | $47.86 | $47.86 | $70.79 |
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 $50.12 Median $51.29 Typical High $60.26 | Facility | AF · Specialist physician | $50.12 | $51.29 | $60.26 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $37.15 Median $38.90 Typical High $45.71 | Facility | HO · Master's level | $37.15 | $38.90 | $45.71 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $41.69 Median $43.65 Typical High $51.29 | Facility | TD · Registered nurse | $41.69 | $43.65 | $51.29 |
Where Kentucky sits
The same service costs 2.3 times more in Alaska 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· 47th of 51
$51.29
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.