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 $3.63 Median $6.17 Typical High $7.08 | Facility | None | $3.63 | $6.17 | $7.08 |
Aetna Setting Professional Modifier None Typical Low $6.03 Median $6.61 Typical High $7.08 | Professional | None | $6.03 | $6.61 | $7.08 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.17 Median $5.37 Typical High $7.41 | Professional | None | $4.17 | $5.37 | $7.41 |
CareSource Setting Facility Modifier None Typical Low $7.94 Median $7.94 Typical High $11.22 | Facility | None | $7.94 | $7.94 | $11.22 |
CareSource Setting Professional Modifier None Typical Low $7.94 Median $8.71 Typical High $12.30 | Professional | None | $7.94 | $8.71 | $12.30 |
Cigna Setting Facility Modifier None Typical Low $15.49 Median $15.49 Typical High $15.49 | Facility | None | $15.49 | $15.49 | $15.49 |
Cigna Setting Professional Modifier None Typical Low $5.62 Median $5.62 Typical High $54.95 | Professional | None | $5.62 | $5.62 | $54.95 |
Molina Setting Professional Modifier None Typical Low $7.76 Median $15.85 Typical High $15.85 | Professional | None | $7.76 | $15.85 | $15.85 |
United Setting Professional Modifier None Typical Low $3.72 Median $5.01 Typical High $6.76 | Professional | None | $3.72 | $5.01 | $6.76 |
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 $0.49 Median $0.49 Typical High $0.49 | Professional | RR · Rental | $0.49 | $0.49 | $0.49 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $3.72 Median $3.72 Typical High $5.37 | Professional | UE · Used equipment | $3.72 | $3.72 | $5.37 |
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· 49th of 51
$5.50
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.