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 $4.57 Median $7.76 Typical High $8.91 | Facility | None | $4.57 | $7.76 | $8.91 |
Aetna Setting Professional Modifier None Typical Low $7.59 Median $8.32 Typical High $8.91 | Professional | None | $7.59 | $8.32 | $8.91 |
Anthem BCBS Setting Professional Modifier None Typical Low $5.25 Median $6.92 Typical High $9.33 | Professional | None | $5.25 | $6.92 | $9.33 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $4.47 Median $4.47 Typical High $5.89 | Professional | UE · Used equipment | $4.47 | $4.47 | $5.89 |
CareSource Setting Facility Modifier None Typical Low $13.80 Median $13.80 Typical High $13.80 | Facility | None | $13.80 | $13.80 | $13.80 |
CareSource Setting Professional Modifier None Typical Low $14.79 Median $17.38 Typical High $22.39 | Professional | None | $14.79 | $17.38 | $22.39 |
Cigna Setting Facility Modifier None Typical Low $19.05 Median $19.05 Typical High $19.05 | Facility | None | $19.05 | $19.05 | $19.05 |
Cigna Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $69.18 | Professional | None | $7.08 | $7.08 | $69.18 |
Molina Setting Professional Modifier None Typical Low $9.77 Median $19.95 Typical High $19.95 | Professional | None | $9.77 | $19.95 | $19.95 |
United Setting Professional Modifier None Typical Low $4.57 Median $6.31 Typical High $8.51 | Professional | None | $4.57 | $6.31 | $8.51 |
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 $0.60 Median $0.60 Typical High $0.60 | Professional | RR · Rental | $0.60 | $0.60 | $0.60 |
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
$6.92
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.