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 $3.72 Typical High $4.27 | Facility | None | $2.29 | $3.72 | $4.27 |
Aetna Setting Professional Modifier None Typical Low $2.29 Median $4.27 Typical High $4.27 | Professional | None | $2.29 | $4.27 | $4.27 |
Anthem BCBS Setting Professional Modifier None Typical Low $3.31 Median $3.55 Typical High $4.47 | Professional | None | $3.31 | $3.55 | $4.47 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2.51 Median $2.51 Typical High $3.55 | Professional | UE · Used equipment | $2.51 | $2.51 | $3.55 |
CareSource Setting Facility Modifier None Typical Low $4.37 Median $6.03 Typical High $9.55 | Facility | None | $4.37 | $6.03 | $9.55 |
CareSource Setting Professional Modifier None Typical Low $6.61 Median $8.32 Typical High $10.72 | Professional | None | $6.61 | $8.32 | $10.72 |
Cigna Setting Facility Modifier None Typical Low $3.98 Median $4.27 Typical High $9.12 | Facility | None | $3.98 | $4.27 | $9.12 |
Cigna Setting Professional Modifier None Typical Low $3.39 Median $4.27 Typical High $32.36 | Professional | None | $3.39 | $4.27 | $32.36 |
Molina Setting Professional Modifier None Typical Low $3.89 Median $4.90 Typical High $9.55 | Professional | None | $3.89 | $4.90 | $9.55 |
United Setting Professional Modifier None Typical Low $2.19 Median $3.02 Typical High $4.37 | Professional | None | $2.19 | $3.02 | $4.37 |
5 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 52 · Reduced service Typical Low $1.45 Median $2.09 Typical High $2.14 | Professional | 52 · Reduced service | $1.45 | $2.09 | $2.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.58 Median $0.83 Typical High $0.85 | Professional | 53 · Discontinued | $0.58 | $0.83 | $0.85 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.44 Median $0.63 Typical High $0.65 | Professional | 55 · Aftercare only | $0.44 | $0.63 | $0.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.23 Median $0.42 Typical High $0.43 | Professional | 56 · Pre-op care only | $0.23 | $0.42 | $0.43 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.33 Median $0.33 Typical High $0.33 | Professional | RR · Rental | $0.33 | $0.33 | $0.33 |
Where Kentucky sits
The same service costs 2.1 times more in Kansas than in Alabama. 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· 40th of 51
$3.55
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.