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 $10.23 Median $29.51 Typical High $29.51 | Facility | None | $10.23 | $29.51 | $29.51 |
Aetna Setting Professional Modifier None Typical Low $14.79 Median $29.51 Typical High $29.51 | Professional | None | $14.79 | $29.51 | $29.51 |
Ambetter Setting Professional Modifier None Typical Low $6.31 Median $6.31 Typical High $6.31 | Professional | None | $6.31 | $6.31 | $6.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.59 Median $14.79 Typical High $19.95 | Professional | None | $12.59 | $14.79 | $19.95 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Facility | None | $64.57 | $64.57 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | None | $10.72 | $10.72 | $10.72 |
Molina Setting Professional Modifier None Typical Low $23.44 Median $44.67 Typical High $100.00 | Professional | None | $23.44 | $44.67 | $100.00 |
United Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | None | $15.14 | $15.14 | $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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier U4 · State-defined Typical Low $5.13 Median $5.13 Typical High $5.13 | Professional | U4 · State-defined | $5.13 | $5.13 | $5.13 |
Where Kentucky sits
The same service costs 8.7 times more in Montana than in California. 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
$14.79
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.