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 $26.30 Median $40.74 Typical High $44.67 | Facility | None | $26.30 | $40.74 | $44.67 |
Aetna Setting Professional Modifier None Typical Low $26.30 Median $40.74 Typical High $44.67 | Professional | None | $26.30 | $40.74 | $44.67 |
Anthem BCBS Setting Facility Modifier None Typical Low $53.70 Median $87.10 Typical High $91.20 | Facility | None | $53.70 | $87.10 | $91.20 |
Anthem BCBS Setting Professional Modifier None Typical Low $35.48 Median $42.66 Typical High $57.54 | Professional | None | $35.48 | $42.66 | $57.54 |
CareSource Setting Facility Modifier None Typical Low $54.95 Median $75.86 Typical High $123.03 | Facility | None | $54.95 | $75.86 | $123.03 |
CareSource Setting Professional Modifier None Typical Low $85.11 Median $104.71 Typical High $134.90 | Professional | None | $85.11 | $104.71 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $117.49 | Facility | None | $46.77 | $46.77 | $117.49 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $46.77 Typical High $407.38 | Professional | None | $33.88 | $46.77 | $407.38 |
Molina Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $64.57 | Professional | None | $53.70 | $53.70 | $64.57 |
United Setting Facility Modifier None Typical Low $19.05 Median $19.05 Typical High $36.31 | Facility | None | $19.05 | $19.05 | $36.31 |
United Setting Professional Modifier None Typical Low $27.54 Median $38.02 Typical High $56.23 | Professional | None | $27.54 | $38.02 | $56.23 |
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 52 · Reduced service Typical Low $16.60 Median $20.42 Typical High $22.39 | Professional | 52 · Reduced service | $16.60 | $20.42 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $8.13 Typical High $8.91 | Professional | 53 · Discontinued | $6.76 | $8.13 | $8.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.01 Median $6.03 Typical High $6.76 | Professional | 55 · Aftercare only | $5.01 | $6.03 | $6.76 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.39 Median $4.07 Typical High $4.47 | Professional | 56 · Pre-op care only | $3.39 | $4.07 | $4.47 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $4.27 Median $4.27 Typical High $4.27 | Professional | RR · Rental | $4.27 | $4.27 | $4.27 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | UE · Used equipment | $31.62 | $31.62 | $31.62 |
Where Kentucky sits
The same service costs 2.9 times more in Kansas than in Delaware. 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· 40th of 51
$42.66
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.