How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $676.08 Median $3,715.35 Typical High $3,715.35 | Facility | None | $676.08 | $3,715.35 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $676.08 Median $3,715.35 Typical High $3,715.35 | Professional | None | $676.08 | $3,715.35 | $3,715.35 |
Anthem BCBS Setting Professional Modifier None Typical Low $263.03 Median $602.56 Typical High $758.58 | Professional | None | $263.03 | $602.56 | $758.58 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $26.30 Median $60.26 Typical High $75.86 | Professional | RR · Rental | $26.30 | $60.26 | $75.86 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $407.38 Typical High $436.52 | Facility | None | $64.57 | $407.38 | $436.52 |
Cigna Setting Professional Modifier None Typical Low $346.74 Median $407.38 Typical High $416.87 | Professional | None | $346.74 | $407.38 | $416.87 |
Molina Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | None | $100.00 | $100.00 | $100.00 |
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 $446.68 Median $446.68 Typical High $524.81 | Professional | UE · Used equipment | $446.68 | $446.68 | $524.81 |
Where Kentucky sits
The same service costs 28.8 times more in Oklahoma than in Virginia. 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· 14th of 51
$603
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.