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 $1.55 Median $2.63 Typical High $3.02 | Facility | None | $1.55 | $2.63 | $3.02 |
Aetna Setting Professional Modifier None Typical Low $2.57 Median $2.63 Typical High $3.02 | Professional | None | $2.57 | $2.63 | $3.02 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.09 Median $2.24 Typical High $3.16 | Professional | None | $2.09 | $2.24 | $3.16 |
CareSource Setting Facility Modifier None Typical Low $3.39 Median $3.39 Typical High $4.79 | Facility | None | $3.39 | $3.39 | $4.79 |
CareSource Setting Professional Modifier None Typical Low $3.39 Median $3.72 Typical High $5.25 | Professional | None | $3.39 | $3.72 | $5.25 |
Cigna Setting Facility Modifier None Typical Low $6.46 Median $6.46 Typical High $6.46 | Facility | None | $6.46 | $6.46 | $6.46 |
Cigna Setting Professional Modifier None Typical Low $2.40 Median $2.40 Typical High $23.44 | Professional | None | $2.40 | $2.40 | $23.44 |
Molina Setting Professional Modifier None Typical Low $3.31 Median $6.76 Typical High $6.76 | Professional | None | $3.31 | $6.76 | $6.76 |
United Setting Professional Modifier None Typical Low $1.55 Median $2.09 Typical High $2.82 | Professional | None | $1.55 | $2.09 | $2.82 |
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 $1.55 Median $1.55 Typical High $2.24 | Professional | UE · Used equipment | $1.55 | $1.55 | $2.24 |
Where Kentucky sits
The same service costs 3.0 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· 44th 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.