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 $81.28 Median $257.04 Typical High $398.11 | Facility | None | $81.28 | $257.04 | $398.11 |
Aetna Setting Professional Modifier None Typical Low $81.28 Median $269.15 Typical High $562.34 | Professional | None | $81.28 | $269.15 | $562.34 |
Anthem BCBS Setting Professional Modifier None Typical Low $363.08 Median $549.54 Typical High $549.54 | Professional | None | $363.08 | $549.54 | $549.54 |
CareSource Setting Facility Modifier None Typical Low $331.13 Median $338.84 Typical High $389.05 | Facility | None | $331.13 | $338.84 | $389.05 |
CareSource Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $309.03 | Professional | None | $295.12 | $295.12 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Facility | None | $758.58 | $758.58 | $758.58 |
Cigna Setting Professional Modifier None Typical Low $190.55 Median $380.19 Typical High $2,754.23 | Professional | None | $190.55 | $380.19 | $2,754.23 |
United Setting Professional Modifier None Typical Low $338.84 Median $407.38 Typical High $575.44 | Professional | None | $338.84 | $407.38 | $575.44 |
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 $398.11 Median $398.11 Typical High $398.11 | Professional | PH · Ambulance P to H | $398.11 | $398.11 | $398.11 |
Where Kentucky sits
The same service costs 6.6 times more in Minnesota 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
$550
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.