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 $37.15 Median $37.15 Typical High $42.66 | Facility | None | $37.15 | $37.15 | $42.66 |
Aetna Setting Professional Modifier None Typical Low $18.20 Median $37.15 Typical High $42.66 | Professional | None | $18.20 | $37.15 | $42.66 |
Anthem BCBS Setting Professional Modifier None Typical Low $30.20 Median $42.66 Typical High $114.82 | Professional | None | $30.20 | $42.66 | $114.82 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $31.62 Median $87.10 Typical High $87.10 | Professional | UE · Used equipment | $31.62 | $87.10 | $87.10 |
CareSource Setting Facility Modifier None Typical Low $42.66 Median $60.26 Typical High $95.50 | Facility | None | $42.66 | $60.26 | $95.50 |
CareSource Setting Professional Modifier None Typical Low $66.07 Median $83.18 Typical High $107.15 | Professional | None | $66.07 | $83.18 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $39.81 Median $48.98 Typical High $91.20 | Facility | None | $39.81 | $48.98 | $91.20 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $42.66 Typical High $331.13 | Professional | None | $33.88 | $42.66 | $331.13 |
Molina Setting Professional Modifier None Typical Low $38.90 Median $48.98 Typical High $95.50 | Professional | None | $38.90 | $48.98 | $95.50 |
United Setting Professional Modifier None Typical Low $19.50 Median $30.20 Typical High $43.65 | Professional | None | $19.50 | $30.20 | $43.65 |
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 $18.20 Median $20.89 Typical High $21.38 | Professional | 52 · Reduced service | $18.20 | $20.89 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $8.51 Typical High $8.51 | Professional | 53 · Discontinued | $7.24 | $8.51 | $8.51 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.50 Median $6.31 Typical High $6.31 | Professional | 55 · Aftercare only | $5.50 | $6.31 | $6.31 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.63 Median $4.17 Typical High $4.27 | Professional | 56 · Pre-op care only | $3.63 | $4.17 | $4.27 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $4.27 Median $11.48 Typical High $11.48 | Professional | RR · Rental | $4.27 | $11.48 | $11.48 |
Where Kentucky sits
The same service costs 2.3 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· 32nd of 51
$42.66
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.