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 $5.89 Median $10.00 Typical High $11.48 | Facility | None | $5.89 | $10.00 | $11.48 |
Aetna Setting Professional Modifier None Typical Low $6.61 Median $11.48 Typical High $11.48 | Professional | None | $6.61 | $11.48 | $11.48 |
Anthem BCBS Setting Professional Modifier None Typical Low $7.94 Median $8.71 Typical High $12.02 | Professional | None | $7.94 | $8.71 | $12.02 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $6.03 Median $6.46 Typical High $8.51 | Professional | UE · Used equipment | $6.03 | $6.46 | $8.51 |
CareSource Setting Facility Modifier None Typical Low $11.75 Median $16.22 Typical High $26.30 | Facility | None | $11.75 | $16.22 | $26.30 |
CareSource Setting Professional Modifier None Typical Low $17.78 Median $22.39 Typical High $28.84 | Professional | None | $17.78 | $22.39 | $28.84 |
Cigna Setting Facility Modifier None Typical Low $10.72 Median $10.72 Typical High $25.12 | Facility | None | $10.72 | $10.72 | $25.12 |
Cigna Setting Professional Modifier None Typical Low $9.12 Median $10.72 Typical High $85.11 | Professional | None | $9.12 | $10.72 | $85.11 |
Molina Setting Professional Modifier None Typical Low $10.00 Median $12.88 Typical High $25.70 | Professional | None | $10.00 | $12.88 | $25.70 |
United Setting Professional Modifier None Typical Low $5.89 Median $8.13 Typical High $11.75 | Professional | None | $5.89 | $8.13 | $11.75 |
3 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 $1.00 Median $1.70 Typical High $1.74 | Professional | 55 · Aftercare only | $1.00 | $1.70 | $1.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.68 Median $1.12 Typical High $1.15 | Professional | 56 · Pre-op care only | $0.68 | $1.12 | $1.15 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.79 Median $0.79 Typical High $0.79 | Professional | RR · Rental | $0.79 | $0.79 | $0.79 |
Where Kentucky sits
The same service costs 2.9 times more in Hawaii than in Rhode Island. 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· 46th of 51
$8.91
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.