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 $8.32 Median $13.80 Typical High $16.22 | Facility | None | $8.32 | $13.80 | $16.22 |
Aetna Setting Professional Modifier None Typical Low $9.33 Median $15.85 Typical High $16.22 | Professional | None | $9.33 | $15.85 | $16.22 |
Anthem BCBS Setting Professional Modifier None Typical Low $10.72 Median $11.22 Typical High $16.60 | Professional | None | $10.72 | $11.22 | $16.60 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1.07 Median $1.07 Typical High $1.07 | Professional | RR · Rental | $1.07 | $1.07 | $1.07 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $8.13 Median $8.13 Typical High $8.71 | Professional | UE · Used equipment | $8.13 | $8.13 | $8.71 |
CareSource Setting Facility Modifier None Typical Low $16.22 Median $22.39 Typical High $35.48 | Facility | None | $16.22 | $22.39 | $35.48 |
CareSource Setting Professional Modifier None Typical Low $24.55 Median $30.90 Typical High $39.81 | Professional | None | $24.55 | $30.90 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $12.02 Median $15.14 Typical High $33.88 | Facility | None | $12.02 | $15.14 | $33.88 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $15.14 Typical High $117.49 | Professional | None | $12.88 | $15.14 | $117.49 |
Molina Setting Professional Modifier None Typical Low $13.80 Median $17.38 Typical High $35.48 | Professional | None | $13.80 | $17.38 | $35.48 |
United Setting Professional Modifier None Typical Low $7.41 Median $11.48 Typical High $16.22 | Professional | None | $7.41 | $11.48 | $16.22 |
2 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 $1.41 Median $2.34 Typical High $2.40 | Professional | 55 · Aftercare only | $1.41 | $2.34 | $2.40 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.93 Median $1.58 Typical High $1.62 | Professional | 56 · Pre-op care only | $0.93 | $1.58 | $1.62 |
Where Kentucky sits
The same service costs 3.5 times more in Hawaii than in Connecticut. 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
$11.75
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.