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 $32.36 Median $32.36 Typical High $51.29 | Facility | None | $32.36 | $32.36 | $51.29 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $60.26 | Professional | None | $32.36 | $32.36 | $60.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $35.48 Median $38.02 Typical High $74.13 | Facility | None | $35.48 | $38.02 | $74.13 |
Anthem BCBS Setting Professional Modifier None Typical Low $27.54 Median $32.36 Typical High $32.36 | Professional | None | $27.54 | $32.36 | $32.36 |
CareSource Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $47.86 | Facility | None | $30.20 | $30.20 | $47.86 |
CareSource Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $41.69 | Professional | None | $30.20 | $30.20 | $41.69 |
Cigna Setting Facility Modifier None Typical Low $37.15 Median $85.11 Typical High $112.20 | Facility | None | $37.15 | $85.11 | $112.20 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $134.90 Typical High $134.90 | Professional | None | $32.36 | $134.90 | $134.90 |
United Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | None | $31.62 | $31.62 | $31.62 |
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 $18.20 Median $18.20 Typical High $18.20 | Professional | JZ · No drug discarded | $18.20 | $18.20 | $18.20 |
Where Kentucky sits
The same service costs 4.6 times more in Alabama than in Oklahoma. 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· 32nd of 51
$32.36
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.