How much rates vary
Facilitymedian $191 · 10th to 90th $52 to $347Professionalmedian $191 · 10th to 90th $126 to $214
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 $144.54 Median $169.82 Typical High $190.55 | Facility | None | $144.54 | $169.82 | $190.55 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $144.54 Typical High $190.55 | Professional | None | $131.83 | $144.54 | $190.55 |
Aetna Setting Professional Modifier RR · Rental Typical Low $13.18 Median $13.18 Typical High $13.18 | Professional | RR · Rental | $13.18 | $13.18 | $13.18 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $81.28 Median $107.15 Typical High $141.25 | Professional | UE · Used equipment | $81.28 | $107.15 | $141.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $181.97 Median $194.98 Typical High $213.80 | Professional | None | $181.97 | $194.98 | $213.80 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $18.20 Median $19.50 Typical High $21.38 | Professional | RR · Rental | $18.20 | $19.50 | $21.38 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $138.04 Median $144.54 Typical High $144.54 | Professional | UE · Used equipment | $138.04 | $144.54 | $144.54 |
CareSource Setting Facility Modifier None Typical Low $16.60 Median $37.15 Typical High $338.84 | Facility | None | $16.60 | $37.15 | $338.84 |
CareSource Setting Professional Modifier None Typical Low $25.70 Median $42.66 Typical High $478.63 | Professional | None | $25.70 | $42.66 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $218.78 Typical High $346.74 | Facility | None | $52.48 | $218.78 | $346.74 |
Cigna Setting Facility Modifier RR · Rental Typical Low $5.50 Median $22.91 Typical High $36.31 | Facility | RR · Rental | $5.50 | $22.91 | $36.31 |
Cigna Setting Professional Modifier None Typical Low $151.36 Median $177.83 Typical High $1,122.02 | Professional | None | $151.36 | $177.83 | $1,122.02 |
Cigna Setting Professional Modifier RR · Rental Typical Low $15.14 Median $19.05 Typical High $131.83 | Professional | RR · Rental | $15.14 | $19.05 | $131.83 |
Cigna Setting Professional Modifier UE · Used equipment Typical Low $114.82 Median $141.25 Typical High $141.25 | Professional | UE · Used equipment | $114.82 | $141.25 | $141.25 |
Molina Setting Professional Modifier None Typical Low $25.70 Median $30.20 Typical High $269.15 | Professional | None | $25.70 | $30.20 | $269.15 |
United Setting Professional Modifier None Typical Low $87.10 Median $125.89 Typical High $190.55 | Professional | None | $87.10 | $125.89 | $190.55 |
United Setting Professional Modifier RR · Rental Typical Low $10.00 Median $16.60 Typical High $24.55 | Professional | RR · Rental | $10.00 | $16.60 | $24.55 |
United Setting Professional Modifier UE · Used equipment Typical Low $61.66 Median $95.50 Typical High $141.25 | Professional | UE · Used equipment | $61.66 | $95.50 | $141.25 |
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 52 · Reduced service Typical Low $70.79 Median $87.10 Typical High $95.50 | Professional | 52 · Reduced service | $70.79 | $87.10 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $34.67 Typical High $38.02 | Professional | 53 · Discontinued | $28.18 | $34.67 | $38.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.38 Median $26.30 Typical High $28.84 | Professional | 55 · Aftercare only | $21.38 | $26.30 | $28.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.45 Median $17.78 Typical High $19.05 | Professional | 56 · Pre-op care only | $14.45 | $17.78 | $19.05 |
Where Kentucky sits
The same service costs 22.4 times more in Kansas than in Illinois. 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· 21st of 51
$191
KS $447IL $19.95
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.