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 $4.79 Median $8.13 Typical High $9.12 | Facility | None | $4.79 | $8.13 | $9.12 |
Aetna Setting Professional Modifier None Typical Low $7.94 Median $8.71 Typical High $9.12 | Professional | None | $7.94 | $8.71 | $9.12 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.37 Median $6.92 Typical High $9.77 | Professional | None | $5.37 | $6.92 | $9.77 |
CareSource Setting Facility Modifier None Typical Low $14.45 Median $14.45 Typical High $14.45 | Facility | None | $14.45 | $14.45 | $14.45 |
CareSource Setting Professional Modifier None Typical Low $15.49 Median $17.78 Typical High $22.91 | Professional | None | $15.49 | $17.78 | $22.91 |
Cigna Setting Facility Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Facility | None | $19.95 | $19.95 | $19.95 |
Cigna Setting Professional Modifier None Typical Low $7.41 Median $7.41 Typical High $70.79 | Professional | None | $7.41 | $7.41 | $70.79 |
Molina Setting Professional Modifier None Typical Low $10.23 Median $20.42 Typical High $20.42 | Professional | None | $10.23 | $20.42 | $20.42 |
United Setting Professional Modifier None Typical Low $4.79 Median $6.46 Typical High $8.71 | Professional | None | $4.79 | $6.46 | $8.71 |
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 $0.65 Median $0.65 Typical High $0.65 | Professional | RR · Rental | $0.65 | $0.65 | $0.65 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $4.79 Median $4.79 Typical High $6.92 | Professional | UE · Used equipment | $4.79 | $4.79 | $6.92 |
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
$7.24
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.