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 $19.05 Median $19.05 Typical High $35.48 | Facility | None | $19.05 | $19.05 | $35.48 |
Aetna Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $36.31 | Professional | None | $19.05 | $19.05 | $36.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $20.42 Median $22.39 Typical High $42.66 | Facility | None | $20.42 | $22.39 | $42.66 |
Anthem BCBS Setting Professional Modifier None Typical Low $16.22 Median $19.05 Typical High $19.05 | Professional | None | $16.22 | $19.05 | $19.05 |
CareSource Setting Facility Modifier None Typical Low $18.20 Median $18.20 Typical High $28.84 | Facility | None | $18.20 | $18.20 | $28.84 |
CareSource Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $25.12 | Professional | None | $18.20 | $18.20 | $25.12 |
Cigna Setting Facility Modifier None Typical Low $21.38 Median $69.18 Typical High $85.11 | Facility | None | $21.38 | $69.18 | $85.11 |
Cigna Setting Professional Modifier None Typical Low $19.05 Median $77.62 Typical High $77.62 | Professional | None | $19.05 | $77.62 | $77.62 |
United Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | None | $18.20 | $18.20 | $18.20 |
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 $15.49 Median $15.49 Typical High $15.49 | Professional | JZ · No drug discarded | $15.49 | $15.49 | $15.49 |
Where Kentucky sits
The same service costs 6.6 times more in Alabama than in Iowa. 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· 42nd of 51
$19.05
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.