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 $1.38 Median $1.38 Typical High $2.19 | Facility | None | $1.38 | $1.38 | $2.19 |
Aetna Setting Professional Modifier None Typical Low $1.38 Median $1.38 Typical High $1.74 | Professional | None | $1.38 | $1.38 | $1.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $1.51 Median $1.62 Typical High $2.09 | Facility | None | $1.51 | $1.62 | $2.09 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.15 Median $1.38 Typical High $1.38 | Professional | None | $1.15 | $1.38 | $1.38 |
CareSource Setting Facility Modifier None Typical Low $1.10 Median $1.10 Typical High $1.78 | Facility | None | $1.10 | $1.10 | $1.78 |
CareSource Setting Professional Modifier None Typical Low $1.10 Median $1.10 Typical High $1.55 | Professional | None | $1.10 | $1.10 | $1.55 |
Cigna Setting Facility Modifier None Typical Low $1.55 Median $1.82 Typical High $5.01 | Facility | None | $1.55 | $1.82 | $5.01 |
Cigna Setting Professional Modifier None Typical Low $1.38 Median $4.90 Typical High $4.90 | Professional | None | $1.38 | $4.90 | $4.90 |
United Setting Professional Modifier None Typical Low $1.15 Median $1.15 Typical High $1.15 | Professional | None | $1.15 | $1.15 | $1.15 |
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 $1.38 Median $1.38 Typical High $1.38 | Professional | JZ · No drug discarded | $1.38 | $1.38 | $1.38 |
Where Kentucky sits
The same service costs 5.9 times more in Vermont 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· 23rd of 51
$1.38
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.