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 $1.58 Median $1.82 Typical High $3.09 | Facility | None | $1.58 | $1.82 | $3.09 |
Aetna Setting Professional Modifier None Typical Low $1.58 Median $1.82 Typical High $2.29 | Professional | None | $1.58 | $1.82 | $2.29 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.59 Median $16.98 Typical High $33.88 | Professional | None | $12.59 | $16.98 | $33.88 |
Cigna Setting Facility Modifier None Typical Low $7.08 Median $7.08 Typical High $7.08 | Facility | None | $7.08 | $7.08 | $7.08 |
Cigna Setting Professional Modifier None Typical Low $2.14 Median $2.14 Typical High $16.22 | Professional | None | $2.14 | $2.14 | $16.22 |
Molina Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | None | $44.67 | $44.67 | $44.67 |
United Setting Professional Modifier None Typical Low $1.45 Median $1.91 Typical High $2.82 | Professional | None | $1.45 | $1.91 | $2.82 |
2 more rates 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 $1.45 Median $1.45 Typical High $1.45 | Professional | RR · Rental | $1.45 | $1.45 | $1.45 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $10.96 Median $10.96 Typical High $10.96 | Professional | UE · Used equipment | $10.96 | $10.96 | $10.96 |
Where Kentucky sits
The same service costs 25.1 times more in Wyoming than in West Virginia. 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· 5th of 51
$14.79
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.