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 $2.82 Median $4.79 Typical High $5.37 | Facility | None | $2.82 | $4.79 | $5.37 |
Aetna Setting Professional Modifier None Typical Low $4.68 Median $5.13 Typical High $5.37 | Professional | None | $4.68 | $5.13 | $5.37 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.47 Median $4.07 Typical High $5.75 | Professional | None | $3.47 | $4.07 | $5.75 |
CareSource Setting Facility Modifier None Typical Low $8.51 Median $8.51 Typical High $8.51 | Facility | None | $8.51 | $8.51 | $8.51 |
CareSource Setting Professional Modifier None Typical Low $9.12 Median $10.47 Typical High $13.49 | Professional | None | $9.12 | $10.47 | $13.49 |
Cigna Setting Facility Modifier None Typical Low $11.75 Median $11.75 Typical High $11.75 | Facility | None | $11.75 | $11.75 | $11.75 |
Cigna Setting Professional Modifier None Typical Low $4.37 Median $4.37 Typical High $41.69 | Professional | None | $4.37 | $4.37 | $41.69 |
Molina Setting Professional Modifier None Typical Low $6.03 Median $12.02 Typical High $12.02 | Professional | None | $6.03 | $12.02 | $12.02 |
United Setting Professional Modifier None Typical Low $2.82 Median $3.80 Typical High $5.13 | Professional | None | $2.82 | $3.80 | $5.13 |
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 $0.38 Median $0.38 Typical High $0.38 | Professional | RR · Rental | $0.38 | $0.38 | $0.38 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2.82 Median $2.82 Typical High $4.07 | Professional | UE · Used equipment | $2.82 | $2.82 | $4.07 |
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· 47th of 51
$4.27
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.