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 $28.84 Median $28.84 Typical High $28.84 | Facility | None | $28.84 | $28.84 | $28.84 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $30.20 | Professional | None | $28.84 | $28.84 | $30.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $9.77 Median $10.23 Typical High $35.48 | Facility | None | $9.77 | $10.23 | $35.48 |
Anthem BCBS Setting Professional Modifier None Typical Low $8.51 Median $30.20 Typical High $30.20 | Professional | None | $8.51 | $30.20 | $30.20 |
CareSource Setting Facility Modifier None Typical Low $14.45 Median $14.45 Typical High $22.91 | Facility | None | $14.45 | $14.45 | $22.91 |
CareSource Setting Professional Modifier None Typical Low $14.45 Median $15.14 Typical High $20.89 | Professional | None | $14.45 | $15.14 | $20.89 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $85.11 Typical High $107.15 | Facility | None | $34.67 | $85.11 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $162.18 | Professional | None | $30.90 | $30.90 | $162.18 |
United Setting Professional Modifier None Typical Low $30.20 Median $31.62 Typical High $33.11 | Professional | None | $30.20 | $31.62 | $33.11 |
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 $14.45 Median $14.45 Typical High $15.14 | Professional | 52 · Reduced service | $14.45 | $14.45 | $15.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $5.75 Typical High $6.03 | Professional | 53 · Discontinued | $5.75 | $5.75 | $6.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.37 Median $4.37 Typical High $4.47 | Professional | 55 · Aftercare only | $4.37 | $4.37 | $4.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.88 Median $2.88 Typical High $3.02 | Professional | 56 · Pre-op care only | $2.88 | $2.88 | $3.02 |
Where Kentucky sits
The same service costs 4.7 times more in Alaska than in Hawaii. 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· 45th of 51
$30.20
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.