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 $2.29 Median $3.89 Typical High $4.37 | Facility | None | $2.29 | $3.89 | $4.37 |
Aetna Setting Professional Modifier None Typical Low $1.86 Median $3.89 Typical High $4.37 | Professional | None | $1.86 | $3.89 | $4.37 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.47 Median $3.63 Typical High $4.68 | Professional | None | $3.47 | $3.63 | $4.68 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.35 Median $0.35 Typical High $0.35 | Professional | RR · Rental | $0.35 | $0.35 | $0.35 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2.57 Median $2.57 Typical High $3.63 | Professional | UE · Used equipment | $2.57 | $2.57 | $3.63 |
CareSource Setting Facility Modifier None Typical Low $5.13 Median $6.92 Typical High $10.00 | Facility | None | $5.13 | $6.92 | $10.00 |
CareSource Setting Professional Modifier None Typical Low $6.92 Median $7.59 Typical High $10.23 | Professional | None | $6.92 | $7.59 | $10.23 |
Cigna Setting Facility Modifier None Typical Low $4.17 Median $4.47 Typical High $9.55 | Facility | None | $4.17 | $4.47 | $9.55 |
Cigna Setting Professional Modifier None Typical Low $3.55 Median $4.47 Typical High $33.88 | Professional | None | $3.55 | $4.47 | $33.88 |
Molina Setting Professional Modifier None Typical Low $4.47 Median $5.62 Typical High $9.77 | Professional | None | $4.47 | $5.62 | $9.77 |
United Setting Professional Modifier None Typical Low $2.24 Median $3.09 Typical High $4.57 | Professional | None | $2.24 | $3.09 | $4.57 |
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 $0.45 Median $0.65 Typical High $0.66 | Professional | 55 · Aftercare only | $0.45 | $0.65 | $0.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.23 Median $0.44 Typical High $0.44 | Professional | 56 · Pre-op care only | $0.23 | $0.44 | $0.44 |
Where Kentucky sits
The same service costs 2.1 times more in Kansas than in Colorado. 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· 45th of 51
$3.63
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.