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 $1.51 Median $2.51 Typical High $2.88 | Facility | None | $1.51 | $2.51 | $2.88 |
Aetna Setting Professional Modifier None Typical Low $2.51 Median $2.75 Typical High $2.88 | Professional | None | $2.51 | $2.75 | $2.88 |
Ambetter Setting Professional Modifier None Typical Low $3.47 Median $3.47 Typical High $3.47 | Professional | None | $3.47 | $3.47 | $3.47 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.70 Median $2.19 Typical High $3.09 | Professional | None | $1.70 | $2.19 | $3.09 |
CareSource Setting Facility Modifier None Typical Low $4.57 Median $5.50 Typical High $6.31 | Facility | None | $4.57 | $5.50 | $6.31 |
CareSource Setting Professional Modifier None Typical Low $4.57 Median $4.90 Typical High $6.46 | Professional | None | $4.57 | $4.90 | $6.46 |
Cigna Setting Facility Modifier None Typical Low $6.31 Median $6.31 Typical High $6.31 | Facility | None | $6.31 | $6.31 | $6.31 |
Cigna Setting Professional Modifier None Typical Low $2.29 Median $2.29 Typical High $22.91 | Professional | None | $2.29 | $2.29 | $22.91 |
Molina Setting Professional Modifier None Typical Low $3.24 Median $6.46 Typical High $6.46 | Professional | None | $3.24 | $6.46 | $6.46 |
United Setting Professional Modifier None Typical Low $1.51 Median $2.04 Typical High $2.75 | Professional | None | $1.51 | $2.04 | $2.75 |
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 $0.20 Median $0.20 Typical High $0.20 | Professional | RR · Rental | $0.20 | $0.20 | $0.20 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $1.51 Median $1.51 Typical High $2.19 | Professional | UE · Used equipment | $1.51 | $1.51 | $2.19 |
Where Kentucky sits
The same service costs 3.2 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
$2.29
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.