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 $10.00 Median $33.88 Typical High $42.66 | Facility | None | $10.00 | $33.88 | $42.66 |
Aetna Setting Professional Modifier None Typical Low $31.62 Median $33.88 Typical High $42.66 | Professional | None | $31.62 | $33.88 | $42.66 |
Ambetter Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | None | $25.12 | $25.12 | $25.12 |
Anthem BCBS Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
Anthem BCBS Setting Professional Modifier None Typical Low $12.88 Median $28.84 Typical High $46.77 | Professional | None | $12.88 | $28.84 | $46.77 |
CareSource Setting Facility Modifier None Typical Low $44.67 Median $60.26 Typical High $87.10 | Facility | None | $44.67 | $60.26 | $87.10 |
CareSource Setting Professional Modifier None Typical Low $60.26 Median $64.57 Typical High $81.28 | Professional | None | $60.26 | $64.57 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $40.74 Median $50.12 Typical High $100.00 | Facility | None | $40.74 | $50.12 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $302.00 | Professional | None | $34.67 | $34.67 | $302.00 |
Molina Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $56.23 | Professional | None | $53.70 | $53.70 | $56.23 |
United Setting Professional Modifier None Typical Low $20.42 Median $38.90 Typical High $61.66 | Professional | None | $20.42 | $38.90 | $61.66 |
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 55 · Aftercare only Typical Low $4.68 Median $5.01 Typical High $6.61 | Professional | 55 · Aftercare only | $4.68 | $5.01 | $6.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.16 Median $3.39 Typical High $4.57 | Professional | 56 · Pre-op care only | $3.16 | $3.39 | $4.57 |
Aetna Setting Professional Modifier RR · Rental Typical Low $9.12 Median $9.12 Typical High $9.12 | Professional | RR · Rental | $9.12 | $9.12 | $9.12 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $3.89 Median $3.89 Typical High $3.89 | Professional | RR · Rental | $3.89 | $3.89 | $3.89 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $28.84 Median $28.84 Typical High $34.67 | Professional | UE · Used equipment | $28.84 | $28.84 | $34.67 |
Cigna Setting Professional Modifier RR · Rental Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | RR · Rental | $100.00 | $100.00 | $100.00 |
Where Kentucky sits
The same service costs 6.6 times more in Hawaii than in Wyoming. 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· 50th of 51
$33.88
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.