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 $10.47 Median $17.78 Typical High $20.42 | Facility | None | $10.47 | $17.78 | $20.42 |
Aetna Setting Professional Modifier None Typical Low $17.38 Median $19.05 Typical High $20.42 | Professional | None | $17.38 | $19.05 | $20.42 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.02 Median $15.14 Typical High $21.38 | Professional | None | $12.02 | $15.14 | $21.38 |
CareSource Setting Facility Modifier None Typical Low $22.91 Median $22.91 Typical High $32.36 | Facility | None | $22.91 | $22.91 | $32.36 |
CareSource Setting Professional Modifier None Typical Low $22.91 Median $25.12 Typical High $35.48 | Professional | None | $22.91 | $25.12 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Facility | None | $44.67 | $44.67 | $44.67 |
Cigna Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $158.49 | Professional | None | $16.22 | $16.22 | $158.49 |
Molina Setting Professional Modifier None Typical Low $22.39 Median $45.71 Typical High $45.71 | Professional | None | $22.39 | $45.71 | $45.71 |
United Setting Professional Modifier None Typical Low $10.72 Median $14.45 Typical High $19.50 | Professional | None | $10.72 | $14.45 | $19.50 |
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 $1.41 Median $1.41 Typical High $1.41 | Professional | RR · Rental | $1.41 | $1.41 | $1.41 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $10.72 Median $10.72 Typical High $11.48 | Professional | UE · Used equipment | $10.72 | $10.72 | $11.48 |
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· 44th of 51
$15.85
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.