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 $3.39 Median $5.75 Typical High $6.61 | Facility | None | $3.39 | $5.75 | $6.61 |
Aetna Setting Professional Modifier None Typical Low $2.82 Median $5.75 Typical High $6.61 | Professional | None | $2.82 | $5.75 | $6.61 |
Anthem BCBS Setting Professional Modifier None Typical Low $4.79 Median $5.13 Typical High $6.92 | Professional | None | $4.79 | $5.13 | $6.92 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $3.63 Median $3.63 Typical High $5.13 | Professional | UE · Used equipment | $3.63 | $3.63 | $5.13 |
CareSource Setting Facility Modifier None Typical Low $7.76 Median $10.23 Typical High $14.79 | Facility | None | $7.76 | $10.23 | $14.79 |
CareSource Setting Professional Modifier None Typical Low $10.23 Median $11.22 Typical High $15.49 | Professional | None | $10.23 | $11.22 | $15.49 |
Cigna Setting Facility Modifier None Typical Low $6.17 Median $6.61 Typical High $14.13 | Facility | None | $6.17 | $6.61 | $14.13 |
Cigna Setting Professional Modifier None Typical Low $5.25 Median $6.61 Typical High $48.98 | Professional | None | $5.25 | $6.61 | $48.98 |
Molina Setting Professional Modifier None Typical Low $6.03 Median $7.59 Typical High $14.79 | Professional | None | $6.03 | $7.59 | $14.79 |
United Setting Professional Modifier None Typical Low $3.39 Median $4.68 Typical High $6.76 | Professional | None | $3.39 | $4.68 | $6.76 |
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 $0.62 Median $0.98 Typical High $1.00 | Professional | 55 · Aftercare only | $0.62 | $0.98 | $1.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.40 Median $0.65 Typical High $0.66 | Professional | 56 · Pre-op care only | $0.40 | $0.65 | $0.66 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.48 Median $0.48 Typical High $0.48 | Professional | RR · Rental | $0.48 | $0.48 | $0.48 |
Where Kentucky sits
The same service costs 2.1 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· 49th of 51
$5.13
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.