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 $14.79 Median $21.38 Typical High $23.99 | Facility | None | $14.79 | $21.38 | $23.99 |
Aetna Setting Professional Modifier None Typical Low $14.79 Median $23.99 Typical High $23.99 | Professional | None | $14.79 | $23.99 | $23.99 |
Anthem BCBS Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $25.70 | Professional | None | $17.38 | $17.38 | $25.70 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1.74 Median $1.74 Typical High $1.74 | Professional | RR · Rental | $1.74 | $1.74 | $1.74 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $12.88 Median $12.88 Typical High $12.88 | Professional | UE · Used equipment | $12.88 | $12.88 | $12.88 |
CareSource Setting Facility Modifier None Typical Low $24.55 Median $34.67 Typical High $54.95 | Facility | None | $24.55 | $34.67 | $54.95 |
CareSource Setting Professional Modifier None Typical Low $38.02 Median $47.86 Typical High $61.66 | Professional | None | $38.02 | $47.86 | $61.66 |
Cigna Setting Facility Modifier None Typical Low $22.39 Median $26.92 Typical High $57.54 | Facility | None | $22.39 | $26.92 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $22.91 Median $26.92 Typical High $204.17 | Professional | None | $22.91 | $26.92 | $204.17 |
Molina Setting Professional Modifier None Typical Low $21.38 Median $26.92 Typical High $54.95 | Professional | None | $21.38 | $26.92 | $54.95 |
United Setting Professional Modifier None Typical Low $12.59 Median $18.62 Typical High $25.12 | Professional | None | $12.59 | $18.62 | $25.12 |
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 $2.63 Median $3.63 Typical High $3.63 | Professional | 55 · Aftercare only | $2.63 | $3.63 | $3.63 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.78 Median $2.40 Typical High $2.40 | Professional | 56 · Pre-op care only | $1.78 | $2.40 | $2.40 |
Where Kentucky sits
The same service costs 2.5 times more in Idaho than in Kentucky. 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· 51st of 51
$19.05
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.