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 $19.50 Median $21.88 Typical High $23.99 | Facility | None | $19.50 | $21.88 | $23.99 |
Aetna Setting Professional Modifier None Typical Low $19.50 Median $21.88 Typical High $32.36 | Professional | None | $19.50 | $21.88 | $32.36 |
Anthem BCBS Setting Facility Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Facility | None | $32.36 | $32.36 | $32.36 |
Anthem BCBS Setting Professional Modifier None Typical Low $22.91 Median $25.12 Typical High $34.67 | Professional | None | $22.91 | $25.12 | $34.67 |
CareSource Setting Facility Modifier None Typical Low $23.44 Median $23.44 Typical High $23.44 | Facility | None | $23.44 | $23.44 | $23.44 |
CareSource Setting Professional Modifier None Typical Low $27.54 Median $34.67 Typical High $56.23 | Professional | None | $27.54 | $34.67 | $56.23 |
Cigna Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Facility | None | $46.77 | $46.77 | $46.77 |
Cigna Setting Professional Modifier None Typical Low $18.62 Median $165.96 Typical High $165.96 | Professional | None | $18.62 | $165.96 | $165.96 |
United Setting Professional Modifier None Typical Low $17.78 Median $36.31 Typical High $53.70 | Professional | None | $17.78 | $36.31 | $53.70 |
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 $2.63 Median $2.63 Typical High $2.63 | Professional | RR · Rental | $2.63 | $2.63 | $2.63 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $17.38 Median $19.95 Typical High $19.95 | Professional | UE · Used equipment | $17.38 | $19.95 | $19.95 |
Where Kentucky sits
The same service costs 2.5 times more in Iowa than in New Jersey. 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
$25.70
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.