How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $14.13 Median $14.13 Typical High $25.12 | Facility | None | $14.13 | $14.13 | $25.12 |
Aetna Setting Professional Modifier None Typical Low $14.13 Median $25.12 Typical High $25.12 | Professional | None | $14.13 | $25.12 | $25.12 |
Anthem BCBS Setting Professional Modifier None Typical Low $20.42 Median $23.99 Typical High $23.99 | Professional | None | $20.42 | $23.99 | $23.99 |
CareSource Setting Facility Modifier None Typical Low $28.18 Median $38.90 Typical High $63.10 | Facility | None | $28.18 | $38.90 | $63.10 |
CareSource Setting Professional Modifier None Typical Low $40.74 Median $51.29 Typical High $69.18 | Professional | None | $40.74 | $51.29 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $70.79 | Facility | None | $33.11 | $33.11 | $70.79 |
Cigna Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $33.11 | Professional | None | $23.99 | $23.99 | $33.11 |
Molina Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $33.88 | Professional | None | $32.36 | $32.36 | $33.88 |
United Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $89.13 | Professional | None | $26.92 | $26.92 | $89.13 |
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 $17.78 Median $17.78 Typical High $17.78 | Professional | UE · Used equipment | $17.78 | $17.78 | $17.78 |
Where Kentucky sits
The same service costs 380.2 times more in New York than in South Dakota. 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· 44th of 51
$23.99
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.