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 $22.91 Median $22.91 Typical High $34.67 | Facility | None | $22.91 | $22.91 | $34.67 |
Aetna Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $36.31 | Professional | None | $22.91 | $22.91 | $36.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $26.30 Median $26.92 Typical High $34.67 | Facility | None | $26.30 | $26.92 | $34.67 |
Anthem BCBS Setting Professional Modifier None Typical Low $19.50 Median $22.91 Typical High $22.91 | Professional | None | $19.50 | $22.91 | $22.91 |
CareSource Setting Facility Modifier None Typical Low $21.38 Median $21.38 Typical High $33.88 | Facility | None | $21.38 | $21.38 | $33.88 |
CareSource Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $29.51 | Professional | None | $21.38 | $21.38 | $29.51 |
Cigna Setting Facility Modifier None Typical Low $26.30 Median $83.18 Typical High $85.11 | Facility | None | $26.30 | $83.18 | $85.11 |
Cigna Setting Professional Modifier None Typical Low $22.91 Median $93.33 Typical High $93.33 | Professional | None | $22.91 | $93.33 | $93.33 |
United Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $22.39 | Professional | None | $22.39 | $22.39 | $22.39 |
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 $27.54 Typical High $30.90 | Professional | JZ · No drug discarded | $26.30 | $27.54 | $30.90 |
Where Kentucky sits
The same service costs 2.0 times more in Minnesota than in Hawaii. 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
$22.91
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.