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 $44.67 Median $72.44 Typical High $74.13 | Facility | None | $44.67 | $72.44 | $74.13 |
Aetna Setting Professional Modifier None Typical Low $44.67 Median $72.44 Typical High $95.50 | Professional | None | $44.67 | $72.44 | $95.50 |
Anthem BCBS Setting Facility Modifier None Typical Low $89.13 Median $144.54 Typical High $151.36 | Facility | None | $89.13 | $144.54 | $151.36 |
Anthem BCBS Setting Professional Modifier None Typical Low $63.10 Median $70.79 Typical High $95.50 | Professional | None | $63.10 | $70.79 | $95.50 |
CareSource Setting Facility Modifier None Typical Low $91.20 Median $125.89 Typical High $204.17 | Facility | None | $91.20 | $125.89 | $204.17 |
CareSource Setting Professional Modifier None Typical Low $141.25 Median $177.83 Typical High $223.87 | Professional | None | $141.25 | $177.83 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $194.98 | Facility | None | $77.62 | $77.62 | $194.98 |
Cigna Setting Professional Modifier None Typical Low $56.23 Median $77.62 Typical High $676.08 | Professional | None | $56.23 | $77.62 | $676.08 |
Molina Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $107.15 | Professional | None | $89.13 | $89.13 | $107.15 |
United Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $81.28 | Facility | None | $60.26 | $60.26 | $81.28 |
United Setting Professional Modifier None Typical Low $46.77 Median $63.10 Typical High $93.33 | Professional | None | $46.77 | $63.10 | $93.33 |
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 $30.20 Median $36.31 Typical High $47.86 | Professional | 52 · Reduced service | $30.20 | $36.31 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $14.45 Typical High $19.05 | Professional | 53 · Discontinued | $12.02 | $14.45 | $19.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.12 Median $10.72 Typical High $14.13 | Professional | 55 · Aftercare only | $9.12 | $10.72 | $14.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.03 Median $7.24 Typical High $9.55 | Professional | 56 · Pre-op care only | $6.03 | $7.24 | $9.55 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $7.41 Median $7.41 Typical High $7.41 | Professional | RR · Rental | $7.41 | $7.41 | $7.41 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | UE · Used equipment | $54.95 | $54.95 | $54.95 |
Where Kentucky sits
The same service costs 3.1 times more in Hawaii 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
$70.79
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.