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 $7.59 Median $9.55 Typical High $10.96 | Facility | None | $7.59 | $9.55 | $10.96 |
Aetna Setting Professional Modifier None Typical Low $7.59 Median $10.96 Typical High $16.22 | Professional | None | $7.59 | $10.96 | $16.22 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.59 Median $10.72 Typical High $11.48 | Professional | None | $7.59 | $10.72 | $11.48 |
CareSource Setting Facility Modifier None Typical Low $11.75 Median $18.62 Typical High $22.39 | Facility | None | $11.75 | $18.62 | $22.39 |
CareSource Setting Professional Modifier None Typical Low $12.59 Median $16.60 Typical High $22.91 | Professional | None | $12.59 | $16.60 | $22.91 |
Cigna Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Facility | None | $85.11 | $85.11 | $85.11 |
Cigna Setting Professional Modifier None Typical Low $2.45 Median $79.43 Typical High $79.43 | Professional | None | $2.45 | $79.43 | $79.43 |
United Setting Professional Modifier None Typical Low $8.13 Median $12.30 Typical High $15.14 | Professional | None | $8.13 | $12.30 | $15.14 |
1 more rate 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 UE · Used equipment Typical Low $5.37 Median $5.89 Typical High $7.08 | Professional | UE · Used equipment | $5.37 | $5.89 | $7.08 |
Where Kentucky sits
The same service costs 3.7 times more in Montana 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· 39th of 51
$10.72
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.