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 $0.98 Median $0.98 Typical High $1.74 | Facility | None | $0.98 | $0.98 | $1.74 |
Aetna Setting Professional Modifier None Typical Low $0.98 Median $1.74 Typical High $1.74 | Professional | None | $0.98 | $1.74 | $1.74 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.28 Median $0.33 Typical High $0.44 | Professional | None | $0.28 | $0.33 | $0.44 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $0.21 Median $0.28 Typical High $0.28 | Professional | UE · Used equipment | $0.21 | $0.28 | $0.28 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Facility | None | $64.57 | $64.57 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $0.20 Median $0.20 Typical High $0.20 | Professional | None | $0.20 | $0.20 | $0.20 |
Molina Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | None | $44.67 | $44.67 | $44.67 |
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 |
|---|---|---|---|---|---|
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.04 Median $0.04 Typical High $0.04 | Professional | RR · Rental | $0.04 | $0.04 | $0.04 |
Where Kentucky sits
The same service costs 398.1 times more in Montana than in Oklahoma. 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· 40th of 51
$0.33
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.