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 $24.55 Median $24.55 Typical High $24.55 | Facility | None | $24.55 | $24.55 | $24.55 |
Aetna Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $35.48 | Professional | None | $24.55 | $24.55 | $35.48 |
Anthem BCBS Setting Facility Modifier None Typical Low $26.92 Median $28.84 Typical High $56.23 | Facility | None | $26.92 | $28.84 | $56.23 |
Anthem BCBS Setting Professional Modifier None Typical Low $20.89 Median $24.55 Typical High $24.55 | Professional | None | $20.89 | $24.55 | $24.55 |
CareSource Setting Facility Modifier None Typical Low $23.44 Median $23.44 Typical High $38.02 | Facility | None | $23.44 | $23.44 | $38.02 |
CareSource Setting Professional Modifier None Typical Low $23.44 Median $23.44 Typical High $33.11 | Professional | None | $23.44 | $23.44 | $33.11 |
Cigna Setting Facility Modifier None Typical Low $28.18 Median $32.36 Typical High $85.11 | Facility | None | $28.18 | $32.36 | $85.11 |
Cigna Setting Professional Modifier None Typical Low $24.55 Median $102.33 Typical High $102.33 | Professional | None | $24.55 | $102.33 | $102.33 |
United Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | None | $23.99 | $23.99 | $23.99 |
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 $26.30 Median $26.30 Typical High $26.30 | Professional | JZ · No drug discarded | $26.30 | $26.30 | $26.30 |
Where Kentucky sits
The same service costs 234.4 times more in Alabama than in Maryland. 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· 43rd of 51
$24.55
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.