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 $1.35 Median $1.35 Typical High $2.04 | Facility | None | $1.35 | $1.35 | $2.04 |
Aetna Setting Professional Modifier None Typical Low $1.35 Median $1.35 Typical High $1.82 | Professional | None | $1.35 | $1.35 | $1.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $1.51 Median $1.58 Typical High $2.04 | Facility | None | $1.51 | $1.58 | $2.04 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.12 Median $1.35 Typical High $1.35 | Professional | None | $1.12 | $1.35 | $1.35 |
CareSource Setting Facility Modifier None Typical Low $1.26 Median $1.26 Typical High $2.04 | Facility | None | $1.26 | $1.26 | $2.04 |
CareSource Setting Professional Modifier None Typical Low $1.26 Median $1.26 Typical High $1.78 | Professional | None | $1.26 | $1.26 | $1.78 |
Cigna Setting Facility Modifier None Typical Low $1.51 Median $1.78 Typical High $4.90 | Facility | None | $1.51 | $1.78 | $4.90 |
Cigna Setting Professional Modifier None Typical Low $1.29 Median $1.35 Typical High $1.35 | Professional | None | $1.29 | $1.35 | $1.35 |
United Setting Professional Modifier None Typical Low $1.35 Median $1.35 Typical High $1.35 | Professional | None | $1.35 | $1.35 | $1.35 |
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 $1.35 Median $1.35 Typical High $1.95 | Professional | JZ · No drug discarded | $1.35 | $1.35 | $1.95 |
Where Kentucky sits
The same service costs 3.2 times more in Wyoming than in Maine. 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
$1.35
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.