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 $10.96 Median $18.62 Typical High $21.38 | Facility | None | $10.96 | $18.62 | $21.38 |
Aetna Setting Professional Modifier None Typical Low $18.20 Median $19.95 Typical High $21.38 | Professional | None | $18.20 | $19.95 | $21.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.59 Median $16.60 Typical High $22.39 | Professional | None | $12.59 | $16.60 | $22.39 |
CareSource Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Facility | None | $33.11 | $33.11 | $33.11 |
CareSource Setting Professional Modifier None Typical Low $35.48 Median $41.69 Typical High $53.70 | Professional | None | $35.48 | $41.69 | $53.70 |
Cigna Setting Facility Modifier None Typical Low $45.71 Median $45.71 Typical High $45.71 | Facility | None | $45.71 | $45.71 | $45.71 |
Cigna Setting Professional Modifier None Typical Low $13.80 Median $18.20 Typical High $165.96 | Professional | None | $13.80 | $18.20 | $165.96 |
Molina Setting Professional Modifier None Typical Low $23.44 Median $47.86 Typical High $47.86 | Professional | None | $23.44 | $47.86 | $47.86 |
United Setting Professional Modifier None Typical Low $10.96 Median $15.14 Typical High $20.42 | Professional | None | $10.96 | $15.14 | $20.42 |
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 $1.45 Median $1.45 Typical High $1.45 | Professional | RR · Rental | $1.45 | $1.45 | $1.45 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | UE · Used equipment | $10.72 | $10.72 | $10.72 |
Where Kentucky sits
The same service costs 2.8 times more in Hawaii than in Ohio. 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· 45th of 51
$16.60
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.