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 $60.26 Median $60.26 Typical High $91.20 | Facility | None | $60.26 | $60.26 | $91.20 |
Aetna Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None | $60.26 | $60.26 | $60.26 |
Anthem BCBS Setting Facility Modifier None Typical Low $67.61 Median $70.79 Typical High $165.96 | Facility | None | $67.61 | $70.79 | $165.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $77.62 | Professional | None | $60.26 | $60.26 | $77.62 |
CareSource Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $144.54 | Facility | None | $89.13 | $89.13 | $144.54 |
CareSource Setting Professional Modifier None Typical Low $89.13 Median $93.33 Typical High $128.82 | Professional | None | $89.13 | $93.33 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $102.33 Typical High $208.93 | Facility | None | $72.44 | $102.33 | $208.93 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $323.59 | Professional | None | $60.26 | $60.26 | $323.59 |
Molina Setting Professional Modifier None Typical Low $60.26 Median $72.44 Typical High $93.33 | Professional | None | $60.26 | $72.44 | $93.33 |
United Setting Professional Modifier None Typical Low $77.62 Median $81.28 Typical High $85.11 | Professional | None | $77.62 | $81.28 | $85.11 |
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 $30.20 Median $30.20 Typical High $30.20 | Professional | 52 · Reduced service | $30.20 | $30.20 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $12.02 Typical High $12.02 | Professional | 53 · Discontinued | $12.02 | $12.02 | $12.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.91 Median $8.91 Typical High $8.91 | Professional | 55 · Aftercare only | $8.91 | $8.91 | $8.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.03 Median $6.03 Typical High $6.03 | Professional | 56 · Pre-op care only | $6.03 | $6.03 | $6.03 |
Where Kentucky sits
The same service costs 2.6 times more in Hawaii than in Colorado. 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· 43rd of 51
$60.26
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.