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 $54.95 Median $57.54 Typical High $60.26 | Facility | None | $54.95 | $57.54 | $60.26 |
Aetna Setting Professional Modifier None Typical Low $54.95 Median $57.54 Typical High $61.66 | Professional | None | $54.95 | $57.54 | $61.66 |
Anthem BCBS Setting Professional Modifier None Typical Low $9.77 Median $31.62 Typical High $42.66 | Professional | None | $9.77 | $31.62 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $53.70 Median $87.10 Typical High $87.10 | Facility | None | $53.70 | $87.10 | $87.10 |
Cigna Setting Professional Modifier None Typical Low $31.62 Median $60.26 Typical High $309.03 | Professional | None | $31.62 | $60.26 | $309.03 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
United Setting Professional Modifier None Typical Low $35.48 Median $42.66 Typical High $47.86 | Professional | None | $35.48 | $42.66 | $47.86 |
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 $27.54 Median $28.84 Typical High $30.20 | Professional | 52 · Reduced service | $27.54 | $28.84 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $11.48 Typical High $12.30 | Professional | 53 · Discontinued | $10.96 | $11.48 | $12.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.32 Median $8.51 Typical High $9.12 | Professional | 55 · Aftercare only | $8.32 | $8.51 | $9.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.50 Median $5.75 Typical High $6.17 | Professional | 56 · Pre-op care only | $5.50 | $5.75 | $6.17 |
Where Kentucky sits
The same service costs 2.6 times more in Alaska than in Utah. 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
$41.69
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.