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 $676.08 Median $676.08 Typical High $776.25 | Facility | None | $676.08 | $676.08 | $776.25 |
Aetna Setting Professional Modifier None Typical Low $602.56 Median $676.08 Typical High $776.25 | Professional | None | $602.56 | $676.08 | $776.25 |
Ambetter Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | None | $870.96 | $870.96 | $870.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $645.65 Median $831.76 Typical High $1,122.02 | Professional | None | $645.65 | $831.76 | $1,122.02 |
CareSource Setting Facility Modifier None Typical Low $602.56 Median $724.44 Typical High $1,148.15 | Facility | None | $602.56 | $724.44 | $1,148.15 |
CareSource Setting Professional Modifier None Typical Low $602.56 Median $851.14 Typical High $1,148.15 | Professional | None | $602.56 | $851.14 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $954.99 Typical High $954.99 | Facility | None | $954.99 | $954.99 | $954.99 |
Cigna Setting Professional Modifier None Typical Low $724.44 Median $776.25 Typical High $3,235.94 | Professional | None | $724.44 | $776.25 | $3,235.94 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $478.63 | Professional | None | $33.11 | $33.11 | $478.63 |
United Setting Professional Modifier None Typical Low $676.08 Median $758.58 Typical High $1,096.48 | Professional | None | $676.08 | $758.58 | $1,096.48 |
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 GC · Resident with teaching physician Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | GC · Resident with teaching physician | $831.76 | $831.76 | $831.76 |
Where Kentucky sits
The same service costs 2.8 times more in Alaska than in Utah. 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· 42nd of 51
$759
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.