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 $57.54 Median $69.18 Typical High $112.20 | Facility | None | $57.54 | $69.18 | $112.20 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $67.61 Typical High $77.62 | Professional | None | $57.54 | $67.61 | $77.62 |
Ambetter Setting Professional Modifier None Typical Low $72.44 Median $83.18 Typical High $85.11 | Professional | None | $72.44 | $83.18 | $85.11 |
Anthem BCBS Setting Professional Modifier None Typical Low $60.26 Median $79.43 Typical High $104.71 | Professional | None | $60.26 | $79.43 | $104.71 |
CareSource Setting Facility Modifier None Typical Low $56.23 Median $69.18 Typical High $91.20 | Facility | None | $56.23 | $69.18 | $91.20 |
CareSource Setting Professional Modifier None Typical Low $64.57 Median $75.86 Typical High $104.71 | Professional | None | $64.57 | $75.86 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Facility | None | $87.10 | $87.10 | $87.10 |
Cigna Setting Professional Modifier None Typical Low $67.61 Median $81.28 Typical High $436.52 | Professional | None | $67.61 | $81.28 | $436.52 |
Molina Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $66.07 | Professional | None | $61.66 | $61.66 | $66.07 |
United Setting Professional Modifier None Typical Low $70.79 Median $83.18 Typical High $104.71 | Professional | None | $70.79 | $83.18 | $104.71 |
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 $28.84 Median $34.67 Typical High $56.23 | Facility | 52 · Reduced service | $28.84 | $34.67 | $56.23 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $8.71 Median $10.47 Typical High $16.98 | Facility | 55 · Aftercare only | $8.71 | $10.47 | $16.98 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $5.75 Median $6.92 Typical High $11.22 | Facility | 56 · Pre-op care only | $5.75 | $6.92 | $11.22 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $28.84 Median $33.11 Typical High $38.90 | Professional | 52 · Reduced service | $28.84 | $33.11 | $38.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.71 Median $10.00 Typical High $11.75 | Professional | 55 · Aftercare only | $8.71 | $10.00 | $11.75 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.75 Median $6.76 Typical High $7.76 | Professional | 56 · Pre-op care only | $5.75 | $6.76 | $7.76 |
Where Kentucky sits
The same service costs 2.9 times more in Alaska 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· 38th of 51
$79.43
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.