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 $0.78 Median $1.15 Typical High $1.38 | Facility | None | $0.78 | $1.15 | $1.38 |
Aetna Setting Professional Modifier None Typical Low $0.78 Median $1.38 Typical High $1.38 | Professional | None | $0.78 | $1.38 | $1.38 |
Anthem BCBS Setting Professional Modifier None Typical Low $1.05 Median $1.17 Typical High $1.41 | Professional | None | $1.05 | $1.17 | $1.41 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.12 Median $0.12 Typical High $0.12 | Professional | RR · Rental | $0.12 | $0.12 | $0.12 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $0.89 Median $0.89 Typical High $1.07 | Professional | UE · Used equipment | $0.89 | $0.89 | $1.07 |
CareSource Setting Facility Modifier None Typical Low $1.35 Median $1.86 Typical High $3.02 | Facility | None | $1.35 | $1.86 | $3.02 |
CareSource Setting Professional Modifier None Typical Low $2.09 Median $2.57 Typical High $3.31 | Professional | None | $2.09 | $2.57 | $3.31 |
Cigna Setting Facility Modifier None Typical Low $1.41 Median $1.74 Typical High $3.09 | Facility | None | $1.41 | $1.74 | $3.09 |
Cigna Setting Professional Modifier None Typical Low $1.20 Median $1.51 Typical High $11.22 | Professional | None | $1.20 | $1.51 | $11.22 |
Molina Setting Professional Modifier None Typical Low $1.12 Median $1.41 Typical High $2.95 | Professional | None | $1.12 | $1.41 | $2.95 |
United Setting Professional Modifier None Typical Low $0.69 Median $0.93 Typical High $1.38 | Professional | None | $0.69 | $0.93 | $1.38 |
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 $0.12 Median $0.21 Typical High $0.21 | Professional | 55 · Aftercare only | $0.12 | $0.21 | $0.21 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.08 Median $0.14 Typical High $0.14 | Professional | 56 · Pre-op care only | $0.08 | $0.14 | $0.14 |
Where Kentucky sits
The same service costs 5.4 times more in Kansas 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
$1.17
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.