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 $2.45 Median $4.17 Typical High $4.27 | Facility | None | $2.45 | $4.17 | $4.27 |
Aetna Setting Professional Modifier None Typical Low $4.07 Median $4.17 Typical High $4.27 | Professional | None | $4.07 | $4.17 | $4.27 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.82 Median $3.31 Typical High $5.01 | Professional | None | $2.82 | $3.31 | $5.01 |
CareSource Setting Facility Modifier None Typical Low $7.41 Median $7.41 Typical High $7.41 | Facility | None | $7.41 | $7.41 | $7.41 |
CareSource Setting Professional Modifier None Typical Low $7.94 Median $9.33 Typical High $12.02 | Professional | None | $7.94 | $9.33 | $12.02 |
Cigna Setting Facility Modifier None Typical Low $10.23 Median $10.23 Typical High $10.23 | Facility | None | $10.23 | $10.23 | $10.23 |
Cigna Setting Professional Modifier None Typical Low $3.80 Median $3.80 Typical High $35.48 | Professional | None | $3.80 | $3.80 | $35.48 |
Molina Setting Professional Modifier None Typical Low $5.25 Median $10.72 Typical High $10.72 | Professional | None | $5.25 | $10.72 | $10.72 |
United Setting Professional Modifier None Typical Low $2.45 Median $3.39 Typical High $4.57 | Professional | None | $2.45 | $3.39 | $4.57 |
4 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 $0.60 Median $0.63 Typical High $0.66 | Professional | 55 · Aftercare only | $0.60 | $0.63 | $0.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.40 Median $0.42 Typical High $0.44 | Professional | 56 · Pre-op care only | $0.40 | $0.42 | $0.44 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.33 Median $0.33 Typical High $0.33 | Professional | RR · Rental | $0.33 | $0.33 | $0.33 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2.51 Median $2.51 Typical High $3.31 | Professional | UE · Used equipment | $2.51 | $2.51 | $3.31 |
Where Kentucky sits
The same service costs 2.5 times more in Idaho than in Colorado. 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
$3.72
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.