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 $4.47 Median $6.03 Typical High $6.92 | Facility | None | $4.47 | $6.03 | $6.92 |
Aetna Setting Professional Modifier None Typical Low $5.01 Median $6.03 Typical High $6.92 | Professional | None | $5.01 | $6.03 | $6.92 |
Ambetter Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $10.00 | Professional | None | $7.08 | $7.08 | $10.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.72 Median $4.68 Typical High $7.24 | Professional | None | $3.72 | $4.68 | $7.24 |
CareSource Setting Facility Modifier None Typical Low $10.72 Median $12.59 Typical High $15.14 | Facility | None | $10.72 | $12.59 | $15.14 |
CareSource Setting Professional Modifier None Typical Low $10.72 Median $11.48 Typical High $15.14 | Professional | None | $10.72 | $11.48 | $15.14 |
Cigna Setting Facility Modifier None Typical Low $14.79 Median $14.79 Typical High $14.79 | Facility | None | $14.79 | $14.79 | $14.79 |
Cigna Setting Professional Modifier None Typical Low $5.13 Median $5.13 Typical High $52.48 | Professional | None | $5.13 | $5.13 | $52.48 |
Molina Setting Professional Modifier None Typical Low $4.57 Median $15.49 Typical High $15.49 | Professional | None | $4.57 | $15.49 | $15.49 |
United Setting Professional Modifier None Typical Low $3.55 Median $4.79 Typical High $6.31 | Professional | None | $3.55 | $4.79 | $6.31 |
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 $0.43 Median $0.43 Typical High $0.43 | Professional | RR · Rental | $0.43 | $0.43 | $0.43 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $3.16 Median $3.16 Typical High $3.16 | Professional | UE · Used equipment | $3.16 | $3.16 | $3.16 |
Where Kentucky sits
The same service costs 3.1 times more in Hawaii than in New Hampshire. 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· 48th of 51
$5.01
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.