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 $22.39 Median $22.39 Typical High $25.12 | Facility | None | $22.39 | $22.39 | $25.12 |
Aetna Setting Professional Modifier None Typical Low $22.39 Median $25.12 Typical High $37.15 | Professional | None | $22.39 | $25.12 | $37.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15 | Facility | None | $37.15 | $37.15 | $37.15 |
Anthem BCBS Setting Professional Modifier None Typical Low $22.91 Median $29.51 Typical High $35.48 | Professional | None | $22.91 | $29.51 | $35.48 |
CareSource Setting Facility Modifier None Typical Low $26.30 Median $26.30 Typical High $26.30 | Facility | None | $26.30 | $26.30 | $26.30 |
CareSource Setting Professional Modifier None Typical Low $30.90 Median $38.90 Typical High $61.66 | Professional | None | $30.90 | $38.90 | $61.66 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Facility | None | $54.95 | $54.95 | $54.95 |
Cigna Setting Professional Modifier None Typical Low $25.70 Median $194.98 Typical High $194.98 | Professional | None | $25.70 | $194.98 | $194.98 |
United Setting Professional Modifier None Typical Low $19.50 Median $36.31 Typical High $53.70 | Professional | None | $19.50 | $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 $3.16 Median $3.55 Typical High $3.55 | Professional | RR · Rental | $3.16 | $3.55 | $3.55 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $17.38 Median $22.39 Typical High $26.30 | Professional | UE · Used equipment | $17.38 | $22.39 | $26.30 |
Where Kentucky sits
The same service costs 7.1 times more in North Dakota 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· 43rd of 51
$29.51
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.