How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $1.41 Median $2.51 Typical High $2.51 | Facility | None | $1.41 | $2.51 | $2.51 |
Aetna Setting Professional Modifier None Typical Low $1.41 Median $2.51 Typical High $2.51 | Professional | None | $1.41 | $2.51 | $2.51 |
Anthem BCBS Setting Professional Modifier None Typical Low $0.20 Median $0.23 Typical High $10.00 | Professional | None | $0.20 | $0.23 | $10.00 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $0.15 Median $0.17 Typical High $0.20 | Professional | UE · Used equipment | $0.15 | $0.17 | $0.20 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Facility | None | $64.57 | $64.57 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $5.25 Median $5.25 Typical High $5.25 | Professional | None | $5.25 | $5.25 | $5.25 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $1,995.26 Typical High $1,995.26 | Professional | None | $30.20 | $1,995.26 | $1,995.26 |
3 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 Professional Modifier 55 · Aftercare only Typical Low $0.21 Median $0.38 Typical High $0.38 | Professional | 55 · Aftercare only | $0.21 | $0.38 | $0.38 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.14 Median $0.25 Typical High $0.25 | Professional | 56 · Pre-op care only | $0.14 | $0.25 | $0.25 |
Aetna Setting Professional Modifier RR · Rental Typical Low $2.51 Median $2.51 Typical High $2.51 | Professional | RR · Rental | $2.51 | $2.51 | $2.51 |
Where Kentucky sits
The same service costs 398.1 times more in Montana than in Georgia. 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· 44th of 51
$1.41
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.