How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $10.96 Median $10.96 Typical High $12.88 | Facility | None | $10.96 | $10.96 | $12.88 |
Aetna Setting Professional Modifier None Typical Low $10.96 Median $12.88 Typical High $18.62 | Professional | None | $10.96 | $12.88 | $18.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $18.62 Median $18.62 Typical High $18.62 | Facility | None | $18.62 | $18.62 | $18.62 |
Anthem BCBS Setting Professional Modifier None Typical Low $14.13 Median $14.79 Typical High $20.89 | Professional | None | $14.13 | $14.79 | $20.89 |
CareSource Setting Facility Modifier None Typical Low $15.85 Median $15.85 Typical High $15.85 | Facility | None | $15.85 | $15.85 | $15.85 |
CareSource Setting Professional Modifier None Typical Low $13.18 Median $19.50 Typical High $30.90 | Professional | None | $13.18 | $19.50 | $30.90 |
Cigna Setting Facility Modifier None Typical Low $26.92 Median $26.92 Typical High $26.92 | Facility | None | $26.92 | $26.92 | $26.92 |
Cigna Setting Professional Modifier None Typical Low $16.98 Median $95.50 Typical High $95.50 | Professional | None | $16.98 | $95.50 | $95.50 |
United Setting Professional Modifier None Typical Low $10.47 Median $22.39 Typical High $32.36 | Professional | None | $10.47 | $22.39 | $32.36 |
4 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 $1.62 Median $1.91 Typical High $2.82 | Professional | 55 · Aftercare only | $1.62 | $1.91 | $2.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.10 Median $1.26 Typical High $1.86 | Professional | 56 · Pre-op care only | $1.10 | $1.26 | $1.86 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $1.48 Median $1.48 Typical High $1.51 | Professional | RR · Rental | $1.48 | $1.48 | $1.51 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $10.72 Median $11.22 Typical High $11.48 | Professional | UE · Used equipment | $10.72 | $11.22 | $11.48 |
Where Kentucky sits
The same service costs 3.5 times more in Florida 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· 46th of 51
$14.79
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.