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 $50.12 Median $72.44 Typical High $87.10 | Facility | None | $50.12 | $72.44 | $87.10 |
Aetna Setting Professional Modifier None Typical Low $56.23 Median $83.18 Typical High $87.10 | Professional | None | $56.23 | $83.18 | $87.10 |
Anthem BCBS Setting Facility Modifier None Typical Low $87.10 Median $141.25 Typical High $147.91 | Facility | None | $87.10 | $141.25 | $147.91 |
Anthem BCBS Setting Professional Modifier None Typical Low $64.57 Median $75.86 Typical High $93.33 | Professional | None | $64.57 | $75.86 | $93.33 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | UE · Used equipment | $63.10 | $63.10 | $63.10 |
CareSource Setting Facility Modifier None Typical Low $89.13 Median $123.03 Typical High $199.53 | Facility | None | $89.13 | $123.03 | $199.53 |
CareSource Setting Professional Modifier None Typical Low $138.04 Median $173.78 Typical High $218.78 | Professional | None | $138.04 | $173.78 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $208.93 | Facility | None | $87.10 | $87.10 | $208.93 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $87.10 Typical High $741.31 | Professional | None | $63.10 | $87.10 | $741.31 |
Molina Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $104.71 | Professional | None | $87.10 | $87.10 | $104.71 |
United Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $69.18 | Facility | None | $39.81 | $39.81 | $69.18 |
United Setting Professional Modifier None Typical Low $46.77 Median $69.18 Typical High $100.00 | Professional | None | $46.77 | $69.18 | $100.00 |
5 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 $41.69 Typical High $43.65 | Professional | 52 · Reduced service | $27.54 | $41.69 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $16.60 Typical High $17.38 | Professional | 53 · Discontinued | $11.22 | $16.60 | $17.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.32 Median $12.59 Typical High $13.18 | Professional | 55 · Aftercare only | $8.32 | $12.59 | $13.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.62 Median $8.32 Typical High $8.71 | Professional | 56 · Pre-op care only | $5.62 | $8.32 | $8.71 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $8.32 Median $8.32 Typical High $8.32 | Professional | RR · Rental | $8.32 | $8.32 | $8.32 |
Where Kentucky sits
The same service costs 2.5 times more in Arkansas than in Florida. 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
$75.86
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.