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 $100.00 Median $100.00 Typical High $117.49 | Facility | None | $100.00 | $100.00 | $117.49 |
Aetna Setting Professional Modifier None Typical Low $91.20 Median $100.00 Typical High $117.49 | Professional | None | $91.20 | $100.00 | $117.49 |
Ambetter Setting Professional Modifier None Typical Low $97.72 Median $100.00 Typical High $177.83 | Professional | None | $97.72 | $100.00 | $177.83 |
Anthem BCBS Setting Professional Modifier None Typical Low $100.00 Median $131.83 Typical High $169.82 | Professional | None | $100.00 | $131.83 | $169.82 |
CareSource Setting Facility Modifier None Typical Low $91.20 Median $123.03 Typical High $169.82 | Facility | None | $91.20 | $123.03 | $169.82 |
CareSource Setting Professional Modifier None Typical Low $107.15 Median $114.82 Typical High $144.54 | Professional | None | $107.15 | $114.82 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $117.49 Typical High $489.78 | Professional | None | $109.65 | $117.49 | $489.78 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $70.79 | Professional | None | $33.11 | $33.11 | $70.79 |
United Setting Professional Modifier None Typical Low $93.33 Median $128.82 Typical High $165.96 | Professional | None | $93.33 | $128.82 | $165.96 |
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 FS · Shared visit Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | FS · Shared visit | $123.03 | $123.03 | $123.03 |
Where Kentucky sits
The same service costs 2.8 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· 27th of 51
$132
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.