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 $21.38 Median $21.38 Typical High $24.55 | Facility | None | $21.38 | $21.38 | $24.55 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $23.99 Typical High $30.20 | Professional | None | $21.38 | $23.99 | $30.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Facility | None | $38.90 | $38.90 | $38.90 |
Anthem BCBS Setting Professional Modifier None Typical Low $15.14 Median $30.20 Typical High $39.81 | Professional | None | $15.14 | $30.20 | $39.81 |
CareSource Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $51.29 | Facility | None | $51.29 | $51.29 | $51.29 |
CareSource Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $51.29 | Professional | None | $41.69 | $41.69 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $53.70 Median $53.70 Typical High $53.70 | Facility | None | $53.70 | $53.70 | $53.70 |
Cigna Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $186.21 | Professional | None | $14.79 | $14.79 | $186.21 |
Molina Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | None | $44.67 | $44.67 | $44.67 |
United Setting Professional Modifier None Typical Low $14.79 Median $22.39 Typical High $30.90 | Professional | None | $14.79 | $22.39 | $30.90 |
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 $4.17 Median $4.17 Typical High $4.17 | Professional | RR · Rental | $4.17 | $4.17 | $4.17 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $25.12 Median $30.90 Typical High $30.90 | Professional | UE · Used equipment | $25.12 | $30.90 | $30.90 |
Where Kentucky sits
The same service costs 3.2 times more in Illinois than in Oklahoma. 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· 38th of 51
$28.18
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.