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 $1.95 Median $3.31 Typical High $3.80 | Facility | None | $1.95 | $3.31 | $3.80 |
Aetna Setting Professional Modifier None Typical Low $2.57 Median $3.72 Typical High $3.80 | Professional | None | $2.57 | $3.72 | $3.80 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.95 Median $2.95 Typical High $3.98 | Professional | None | $2.95 | $2.95 | $3.98 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.28 Median $0.28 Typical High $0.28 | Professional | RR · Rental | $0.28 | $0.28 | $0.28 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2.19 Median $2.19 Typical High $2.95 | Professional | UE · Used equipment | $2.19 | $2.19 | $2.95 |
CareSource Setting Facility Modifier None Typical Low $3.80 Median $5.25 Typical High $8.51 | Facility | None | $3.80 | $5.25 | $8.51 |
CareSource Setting Professional Modifier None Typical Low $5.89 Median $7.41 Typical High $9.33 | Professional | None | $5.89 | $7.41 | $9.33 |
Cigna Setting Facility Modifier None Typical Low $3.80 Median $3.80 Typical High $8.13 | Facility | None | $3.80 | $3.80 | $8.13 |
Cigna Setting Professional Modifier None Typical Low $2.45 Median $3.24 Typical High $28.84 | Professional | None | $2.45 | $3.24 | $28.84 |
Molina Setting Professional Modifier None Typical Low $3.47 Median $4.37 Typical High $8.32 | Professional | None | $3.47 | $4.37 | $8.32 |
United Setting Professional Modifier None Typical Low $1.91 Median $2.63 Typical High $3.89 | Professional | None | $1.91 | $2.63 | $3.89 |
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 $0.28 Median $0.56 Typical High $0.56 | Professional | 55 · Aftercare only | $0.28 | $0.56 | $0.56 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.26 Median $0.37 Typical High $0.38 | Professional | 56 · Pre-op care only | $0.26 | $0.37 | $0.38 |
Where Kentucky sits
The same service costs 3.2 times more in Kansas than in New Hampshire. 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· 46th of 51
$3.09
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.