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 $2.40 Median $2.75 Typical High $5.01 | Facility | None | $2.40 | $2.75 | $5.01 |
Aetna Setting Professional Modifier None Typical Low $2.40 Median $2.75 Typical High $2.95 | Professional | None | $2.40 | $2.75 | $2.95 |
Ambetter Setting Professional Modifier None Typical Low $3.02 Median $3.02 Typical High $3.02 | Professional | None | $3.02 | $3.02 | $3.02 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.14 Median $2.19 Typical High $5.25 | Professional | None | $2.14 | $2.19 | $5.25 |
CareSource Setting Facility Modifier None Typical Low $2.82 Median $3.89 Typical High $6.31 | Facility | None | $2.82 | $3.89 | $6.31 |
CareSource Setting Professional Modifier None Typical Low $4.37 Median $5.25 Typical High $6.92 | Professional | None | $4.37 | $5.25 | $6.92 |
Cigna Setting Facility Modifier None Typical Low $6.76 Median $6.76 Typical High $6.76 | Facility | None | $6.76 | $6.76 | $6.76 |
Cigna Setting Professional Modifier None Typical Low $1.82 Median $1.82 Typical High $21.38 | Professional | None | $1.82 | $1.82 | $21.38 |
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 $1.23 Median $2.14 Typical High $3.47 | Professional | None | $1.23 | $2.14 | $3.47 |
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 $0.21 Median $0.21 Typical High $0.21 | Professional | RR · Rental | $0.21 | $0.21 | $0.21 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1.58 Median $1.58 Typical High $2.14 | Professional | UE · Used equipment | $1.58 | $1.58 | $2.14 |
Where Kentucky sits
The same service costs 2.6 times more in Hawaii than in California. 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· 35th of 51
$2.34
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.