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 $4.47 Median $7.59 Typical High $8.51 | Facility | None | $4.47 | $7.59 | $8.51 |
Aetna Setting Professional Modifier None Typical Low $5.89 Median $8.51 Typical High $8.51 | Professional | None | $5.89 | $8.51 | $8.51 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.76 Median $6.76 Typical High $9.12 | Professional | None | $6.76 | $6.76 | $9.12 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.68 Median $0.68 Typical High $0.68 | Professional | RR · Rental | $0.68 | $0.68 | $0.68 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | UE · Used equipment | $5.01 | $5.01 | $5.01 |
CareSource Setting Facility Modifier None Typical Low $8.71 Median $12.02 Typical High $19.50 | Facility | None | $8.71 | $12.02 | $19.50 |
CareSource Setting Professional Modifier None Typical Low $13.49 Median $16.60 Typical High $21.38 | Professional | None | $13.49 | $16.60 | $21.38 |
Cigna Setting Facility Modifier None Typical Low $8.13 Median $8.13 Typical High $18.62 | Facility | None | $8.13 | $8.13 | $18.62 |
Cigna Setting Professional Modifier None Typical Low $6.92 Median $8.13 Typical High $66.07 | Professional | None | $6.92 | $8.13 | $66.07 |
Molina Setting Professional Modifier None Typical Low $7.94 Median $10.00 Typical High $19.05 | Professional | None | $7.94 | $10.00 | $19.05 |
United Setting Professional Modifier None Typical Low $4.37 Median $6.03 Typical High $8.91 | Professional | None | $4.37 | $6.03 | $8.91 |
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 $0.87 Median $1.29 Typical High $1.29 | Professional | 55 · Aftercare only | $0.87 | $1.29 | $1.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.59 Median $0.85 Typical High $0.85 | Professional | 56 · Pre-op care only | $0.59 | $0.85 | $0.85 |
Where Kentucky sits
The same service costs 5.4 times more in Kansas 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· 41st of 51
$7.08
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.