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 $1.45 Median $1.62 Typical High $2.75 | Facility | None | $1.45 | $1.62 | $2.75 |
Aetna Setting Professional Modifier None Typical Low $1.45 Median $1.62 Typical High $2.04 | Professional | None | $1.45 | $1.62 | $2.04 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.00 Median $2.75 Typical High $3.24 | Professional | None | $1.00 | $2.75 | $3.24 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2.09 Median $2.45 Typical High $2.95 | Professional | UE · Used equipment | $2.09 | $2.45 | $2.95 |
CareSource Setting Facility Modifier None Typical Low $2.63 Median $2.63 Typical High $2.63 | Facility | None | $2.63 | $2.63 | $2.63 |
CareSource Setting Professional Modifier None Typical Low $2.29 Median $3.16 Typical High $5.75 | Professional | None | $2.29 | $3.16 | $5.75 |
Cigna Setting Facility Modifier None Typical Low $4.27 Median $4.27 Typical High $4.27 | Facility | None | $4.27 | $4.27 | $4.27 |
Cigna Setting Professional Modifier None Typical Low $0.76 Median $0.76 Typical High $14.45 | Professional | None | $0.76 | $0.76 | $14.45 |
Molina Setting Professional Modifier None Typical Low $8.32 Median $30.20 Typical High $1,995.26 | Professional | None | $8.32 | $30.20 | $1,995.26 |
United Setting Professional Modifier None Typical Low $1.29 Median $1.70 Typical High $2.45 | Professional | None | $1.29 | $1.70 | $2.45 |
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 RR · Rental Typical Low $0.28 Median $0.28 Typical High $0.28 | Professional | RR · Rental | $0.28 | $0.28 | $0.28 |
Where Kentucky sits
The same service costs 158.5 times more in Wyoming than in Minnesota. 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· 34th of 51
$2.04
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.