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 $3.39 Median $3.39 Typical High $5.25 | Facility | None | $3.39 | $3.39 | $5.25 |
Aetna Setting Professional Modifier None Typical Low $3.39 Median $3.39 Typical High $5.25 | Professional | None | $3.39 | $3.39 | $5.25 |
Anthem BCBS Setting Facility Modifier None Typical Low $3.80 Median $3.98 Typical High $36.31 | Facility | None | $3.80 | $3.98 | $36.31 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.82 Median $3.39 Typical High $3.39 | Professional | None | $2.82 | $3.39 | $3.39 |
CareSource Setting Facility Modifier None Typical Low $5.01 Median $5.01 Typical High $8.13 | Facility | None | $5.01 | $5.01 | $8.13 |
CareSource Setting Professional Modifier None Typical Low $5.01 Median $5.01 Typical High $7.08 | Professional | None | $5.01 | $5.01 | $7.08 |
Cigna Setting Facility Modifier None Typical Low $4.79 Median $12.30 Typical High $85.11 | Facility | None | $4.79 | $12.30 | $85.11 |
Cigna Setting Professional Modifier None Typical Low $3.39 Median $131.83 Typical High $131.83 | Professional | None | $3.39 | $131.83 | $131.83 |
United Setting Professional Modifier None Typical Low $30.90 Median $32.36 Typical High $81.28 | Professional | None | $30.90 | $32.36 | $81.28 |
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 $5.01 Median $5.01 Typical High $5.01 | Professional | JZ · No drug discarded | $5.01 | $5.01 | $5.01 |
Where Kentucky sits
The same service costs 9.1 times more in Rhode Island than in Florida. 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
$3.98
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.