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 $3.98 Median $7.59 Typical High $8.51 | Facility | None | $3.98 | $7.59 | $8.51 |
Aetna Setting Professional Modifier None Typical Low $6.92 Median $8.32 Typical High $8.51 | Professional | None | $6.92 | $8.32 | $8.51 |
Anthem BCBS Setting Professional Modifier None Typical Low $6.92 Median $12.02 Typical High $22.91 | Professional | None | $6.92 | $12.02 | $22.91 |
CareSource Setting Facility Modifier None Typical Low $10.00 Median $13.49 Typical High $19.50 | Facility | None | $10.00 | $13.49 | $19.50 |
CareSource Setting Professional Modifier None Typical Low $13.49 Median $14.79 Typical High $19.95 | Professional | None | $13.49 | $14.79 | $19.95 |
Cigna Setting Facility Modifier None Typical Low $8.13 Median $8.51 Typical High $18.62 | Facility | None | $8.13 | $8.51 | $18.62 |
Cigna Setting Professional Modifier None Typical Low $6.92 Median $8.51 Typical High $66.07 | Professional | None | $6.92 | $8.51 | $66.07 |
Molina Setting Professional Modifier None Typical Low $8.71 Median $10.96 Typical High $19.05 | Professional | None | $8.71 | $10.96 | $19.05 |
United Setting Professional Modifier None Typical Low $4.37 Median $6.17 Typical High $8.91 | Professional | None | $4.37 | $6.17 | $8.91 |
6 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 $2.95 Median $4.27 Typical High $4.27 | Professional | 52 · Reduced service | $2.95 | $4.27 | $4.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.17 Median $1.70 Typical High $1.74 | Professional | 53 · Discontinued | $1.17 | $1.70 | $1.74 |
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 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.66 Median $0.66 Typical High $0.66 | Professional | RR · Rental | $0.66 | $0.66 | $0.66 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $4.90 Median $4.90 Typical High $4.90 | Professional | UE · Used equipment | $4.90 | $4.90 | $4.90 |
Where Kentucky sits
The same service costs 2.2 times more in Hawaii than in Maine. 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· 23rd of 51
$9.12
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.