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 $0.10 Median $0.19 Typical High $0.22 | Facility | None | $0.10 | $0.19 | $0.22 |
Aetna Setting Professional Modifier None Typical Low $0.19 Median $0.20 Typical High $0.22 | Professional | None | $0.19 | $0.20 | $0.22 |
Ambetter Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | None | $25.12 | $25.12 | $25.12 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.12 Median $0.16 Typical High $0.23 | Professional | None | $0.12 | $0.16 | $0.23 |
CareSource Setting Facility Modifier None Typical Low $0.34 Median $0.45 Typical High $0.48 | Facility | None | $0.34 | $0.45 | $0.48 |
CareSource Setting Professional Modifier None Typical Low $0.34 Median $0.36 Typical High $0.48 | Professional | None | $0.34 | $0.36 | $0.48 |
Cigna Setting Facility Modifier None Typical Low $0.48 Median $0.48 Typical High $0.48 | Facility | None | $0.48 | $0.48 | $0.48 |
Cigna Setting Professional Modifier None Typical Low $0.17 Median $0.17 Typical High $1.70 | Professional | None | $0.17 | $0.17 | $1.70 |
Molina Setting Professional Modifier None Typical Low $0.27 Median $0.49 Typical High $0.49 | Professional | None | $0.27 | $0.49 | $0.49 |
United Setting Professional Modifier None Typical Low $0.11 Median $0.16 Typical High $0.22 | Professional | None | $0.11 | $0.16 | $0.22 |
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 UE · Used equipment Typical Low $0.12 Median $0.14 Typical High $0.16 | Professional | UE · Used equipment | $0.12 | $0.14 | $0.16 |
Where Kentucky sits
The same service costs 2.9 times more in Hawaii 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· 37th of 51
$0.17
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.