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 $3.39 Median $5.75 Typical High $6.61 | Facility | None | $3.39 | $5.75 | $6.61 |
Aetna Setting Professional Modifier None Typical Low $5.62 Median $6.17 Typical High $6.61 | Professional | None | $5.62 | $6.17 | $6.61 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.89 Median $4.90 Typical High $6.92 | Professional | None | $3.89 | $4.90 | $6.92 |
CareSource Setting Facility Modifier None Typical Low $10.23 Median $11.75 Typical High $14.45 | Facility | None | $10.23 | $11.75 | $14.45 |
CareSource Setting Professional Modifier None Typical Low $10.23 Median $10.96 Typical High $14.45 | Professional | None | $10.23 | $10.96 | $14.45 |
Cigna Setting Facility Modifier None Typical Low $14.13 Median $14.13 Typical High $14.13 | Facility | None | $14.13 | $14.13 | $14.13 |
Cigna Setting Professional Modifier None Typical Low $5.25 Median $5.25 Typical High $51.29 | Professional | None | $5.25 | $5.25 | $51.29 |
Molina Setting Professional Modifier None Typical Low $7.24 Median $14.79 Typical High $14.79 | Professional | None | $7.24 | $14.79 | $14.79 |
United Setting Professional Modifier None Typical Low $3.39 Median $4.68 Typical High $6.31 | Professional | None | $3.39 | $4.68 | $6.31 |
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 $0.46 Median $0.46 Typical High $0.46 | Professional | RR · Rental | $0.46 | $0.46 | $0.46 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $3.39 Median $3.39 Typical High $4.90 | Professional | UE · Used equipment | $3.39 | $3.39 | $4.90 |
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· 48th of 51
$5.13
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.