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 $31.62 Median $33.11 Typical High $93.33 | Facility | None | $31.62 | $33.11 | $93.33 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $31.62 Typical High $42.66 | Professional | None | $28.84 | $31.62 | $42.66 |
Ambetter Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | None | $32.36 | $32.36 | $32.36 |
Anthem BCBS Setting Professional Modifier None Typical Low $19.95 Median $40.74 Typical High $63.10 | Professional | None | $19.95 | $40.74 | $63.10 |
CareSource Setting Facility Modifier None Typical Low $28.84 Median $34.67 Typical High $53.70 | Facility | None | $28.84 | $34.67 | $53.70 |
CareSource Setting Professional Modifier None Typical Low $33.88 Median $43.65 Typical High $54.95 | Professional | None | $33.88 | $43.65 | $54.95 |
Cigna Setting Facility Modifier None Typical Low $45.71 Median $45.71 Typical High $45.71 | Facility | None | $45.71 | $45.71 | $45.71 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $54.95 Typical High $208.93 | Professional | None | $34.67 | $54.95 | $208.93 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
United Setting Professional Modifier None Typical Low $43.65 Median $50.12 Typical High $87.10 | Professional | None | $43.65 | $50.12 | $87.10 |
6 more rates 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 |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $15.85 Median $16.60 Typical High $46.77 | Facility | 52 · Reduced service | $15.85 | $16.60 | $46.77 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $4.79 Median $4.90 Typical High $14.13 | Facility | 55 · Aftercare only | $4.79 | $4.90 | $14.13 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $3.16 Median $3.31 Typical High $9.33 | Facility | 56 · Pre-op care only | $3.16 | $3.31 | $9.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $14.13 Median $15.85 Typical High $18.62 | Professional | 52 · Reduced service | $14.13 | $15.85 | $18.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.27 Median $4.79 Typical High $5.50 | Professional | 55 · Aftercare only | $4.27 | $4.79 | $5.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.88 Median $3.16 Typical High $3.72 | Professional | 56 · Pre-op care only | $2.88 | $3.16 | $3.72 |
Where Kentucky sits
The same service costs 2.6 times more in Nebraska than in Texas. 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· 48th of 51
$40.74
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.