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 $11.22 Median $11.22 Typical High $15.14 | Facility | None | $11.22 | $11.22 | $15.14 |
Aetna Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $16.22 | Professional | None | $11.22 | $11.22 | $16.22 |
Anthem BCBS Setting Facility Modifier None Typical Low $12.59 Median $13.18 Typical High $16.98 | Facility | None | $12.59 | $13.18 | $16.98 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.55 Median $11.22 Typical High $11.22 | Professional | None | $9.55 | $11.22 | $11.22 |
CareSource Setting Facility Modifier None Typical Low $10.23 Median $10.23 Typical High $16.60 | Facility | None | $10.23 | $10.23 | $16.60 |
CareSource Setting Professional Modifier None Typical Low $10.23 Median $10.96 Typical High $14.45 | Professional | None | $10.23 | $10.96 | $14.45 |
Cigna Setting Facility Modifier None Typical Low $12.59 Median $40.74 Typical High $85.11 | Facility | None | $12.59 | $40.74 | $85.11 |
Cigna Setting Professional Modifier None Typical Low $11.22 Median $47.86 Typical High $47.86 | Professional | None | $11.22 | $47.86 | $47.86 |
United Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $11.22 | Professional | None | $11.22 | $11.22 | $11.22 |
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 JZ · No drug discarded Typical Low $11.22 Median $11.22 Typical High $11.22 | Professional | JZ · No drug discarded | $11.22 | $11.22 | $11.22 |
Where Kentucky sits
The same service costs 3.3 times more in Alaska than in Texas. 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· 25th of 51
$11.22
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.