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 $6.61 Median $11.22 Typical High $12.59 | Facility | None | $6.61 | $11.22 | $12.59 |
Aetna Setting Professional Modifier None Typical Low $10.96 Median $12.02 Typical High $12.59 | Professional | None | $10.96 | $12.02 | $12.59 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.59 Median $9.77 Typical High $13.49 | Professional | None | $7.59 | $9.77 | $13.49 |
CareSource Setting Facility Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Facility | None | $19.95 | $19.95 | $19.95 |
CareSource Setting Professional Modifier None Typical Low $21.38 Median $25.12 Typical High $32.36 | Professional | None | $21.38 | $25.12 | $32.36 |
Cigna Setting Facility Modifier None Typical Low $28.18 Median $28.18 Typical High $28.18 | Facility | None | $28.18 | $28.18 | $28.18 |
Cigna Setting Professional Modifier None Typical Low $10.23 Median $10.23 Typical High $97.72 | Professional | None | $10.23 | $10.23 | $97.72 |
Molina Setting Professional Modifier None Typical Low $14.13 Median $28.84 Typical High $28.84 | Professional | None | $14.13 | $28.84 | $28.84 |
United Setting Professional Modifier None Typical Low $6.61 Median $9.12 Typical High $12.30 | Professional | None | $6.61 | $9.12 | $12.30 |
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 $0.89 Median $0.89 Typical High $0.89 | Professional | RR · Rental | $0.89 | $0.89 | $0.89 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $6.61 Median $6.61 Typical High $9.77 | Professional | UE · Used equipment | $6.61 | $6.61 | $9.77 |
Where Kentucky sits
The same service costs 2.8 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· 47th of 51
$10.00
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.