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 $2.88 Median $2.88 Typical High $3.98 | Facility | None | $2.88 | $2.88 | $3.98 |
Aetna Setting Professional Modifier None Typical Low $2.88 Median $2.88 Typical High $4.07 | Professional | None | $2.88 | $2.88 | $4.07 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.72 Median $0.98 Typical High $2.29 | Professional | None | $0.72 | $0.98 | $2.29 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $0.62 Median $0.83 Typical High $0.83 | Professional | UE · Used equipment | $0.62 | $0.83 | $0.83 |
CareSource Setting Facility Modifier None Typical Low $0.07 Median $0.07 Typical High $0.07 | Facility | None | $0.07 | $0.07 | $0.07 |
CareSource Setting Professional Modifier None Typical Low $0.07 Median $0.08 Typical High $0.10 | Professional | None | $0.07 | $0.08 | $0.10 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Facility | None | $64.57 | $64.57 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $2.95 Median $2.95 Typical High $2.95 | Professional | None | $2.95 | $2.95 | $2.95 |
Molina Setting Professional Modifier None Typical Low $0.05 Median $1,995.26 Typical High $1,995.26 | Professional | None | $0.05 | $1,995.26 | $1,995.26 |
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 $0.08 Median $0.08 Typical High $0.08 | Professional | RR · Rental | $0.08 | $0.08 | $0.08 |
Where Kentucky sits
The same service costs 95.5 times more in Montana than in Georgia. 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· 49th of 51
$0.98
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.