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 $2.88 Median $4.79 Typical High $5.50 | Facility | None | $2.88 | $4.79 | $5.50 |
Aetna Setting Professional Modifier None Typical Low $4.79 Median $5.13 Typical High $5.50 | Professional | None | $4.79 | $5.13 | $5.50 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.55 Median $4.17 Typical High $5.89 | Professional | None | $3.55 | $4.17 | $5.89 |
CareSource Setting Facility Modifier None Typical Low $8.71 Median $8.71 Typical High $8.71 | Facility | None | $8.71 | $8.71 | $8.71 |
CareSource Setting Professional Modifier None Typical Low $9.33 Median $10.72 Typical High $13.80 | Professional | None | $9.33 | $10.72 | $13.80 |
Cigna Setting Facility Modifier None Typical Low $12.02 Median $12.02 Typical High $12.02 | Facility | None | $12.02 | $12.02 | $12.02 |
Cigna Setting Professional Modifier None Typical Low $3.63 Median $3.89 Typical High $42.66 | Professional | None | $3.63 | $3.89 | $42.66 |
Molina Setting Professional Modifier None Typical Low $6.17 Median $12.30 Typical High $12.30 | Professional | None | $6.17 | $12.30 | $12.30 |
United Setting Professional Modifier None Typical Low $2.88 Median $3.89 Typical High $5.25 | Professional | None | $2.88 | $3.89 | $5.25 |
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 $0.38 Median $0.38 Typical High $0.38 | Professional | RR · Rental | $0.38 | $0.38 | $0.38 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2.88 Median $2.88 Typical High $4.17 | Professional | UE · Used equipment | $2.88 | $2.88 | $4.17 |
Where Kentucky sits
The same service costs 2.6 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· 35th of 51
$4.17
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.