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 $26.30 Median $26.30 Typical High $31.62 | Facility | None | $26.30 | $26.30 | $31.62 |
Aetna Setting Professional Modifier None Typical Low $14.79 Median $22.39 Typical High $36.31 | Professional | None | $14.79 | $22.39 | $36.31 |
Ambetter Setting Professional Modifier None Typical Low $14.13 Median $16.60 Typical High $23.44 | Professional | None | $14.13 | $16.60 | $23.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.88 Median $14.13 Typical High $16.60 | Professional | None | $12.88 | $14.13 | $16.60 |
CareSource Setting Facility Modifier None Typical Low $17.78 Median $19.95 Typical High $23.99 | Facility | None | $17.78 | $19.95 | $23.99 |
CareSource Setting Professional Modifier None Typical Low $12.02 Median $14.79 Typical High $18.62 | Professional | None | $12.02 | $14.79 | $18.62 |
Cigna Setting Facility Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Facility | None | $19.95 | $19.95 | $19.95 |
Cigna Setting Professional Modifier None Typical Low $13.18 Median $13.80 Typical High $83.18 | Professional | None | $13.18 | $13.80 | $83.18 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
United Setting Professional Modifier None Typical Low $14.45 Median $18.20 Typical High $26.30 | Professional | None | $14.45 | $18.20 | $26.30 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier GC · Resident with teaching physician Typical Low $17.38 Median $17.38 Typical High $20.89 | Professional | GC · Resident with teaching physician | $17.38 | $17.38 | $20.89 |
Where Kentucky sits
The same service costs 5.1 times more in Alaska than in Maine. 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· 27th of 51
$16.60
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.