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 $2.57 Median $3.98 Typical High $6.31 | Facility | None | $2.57 | $3.98 | $6.31 |
Aetna Setting Professional Modifier None Typical Low $2.57 Median $3.98 Typical High $8.91 | Professional | None | $2.57 | $3.98 | $8.91 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.17 Median $10.23 Typical High $10.23 | Professional | None | $6.17 | $10.23 | $10.23 |
CareSource Setting Facility Modifier None Typical Low $6.17 Median $6.31 Typical High $7.24 | Facility | None | $6.17 | $6.31 | $7.24 |
CareSource Setting Professional Modifier None Typical Low $5.50 Median $5.50 Typical High $5.62 | Professional | None | $5.50 | $5.50 | $5.62 |
Cigna Setting Facility Modifier None Typical Low $12.59 Median $12.59 Typical High $12.59 | Facility | None | $12.59 | $12.59 | $12.59 |
Cigna Setting Professional Modifier None Typical Low $3.63 Median $7.08 Typical High $44.67 | Professional | None | $3.63 | $7.08 | $44.67 |
United Setting Professional Modifier None Typical Low $6.03 Median $7.59 Typical High $10.72 | Professional | None | $6.03 | $7.59 | $10.72 |
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 PH · Ambulance P to H Typical Low $8.91 Median $8.91 Typical High $8.91 | Professional | PH · Ambulance P to H | $8.91 | $8.91 | $8.91 |
Where Kentucky sits
The same service costs 12.9 times more in Texas than in North Carolina. 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· 21st of 51
$10.23
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.