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 $74.13 Median $117.49 Typical High $141.25 | Facility | None | $74.13 | $117.49 | $141.25 |
Aetna Setting Professional Modifier None Typical Low $91.20 Median $117.49 Typical High $158.49 | Professional | None | $91.20 | $117.49 | $158.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $169.82 Median $275.42 Typical High $288.40 | Facility | None | $169.82 | $275.42 | $288.40 |
Anthem BCBS Setting Professional Modifier None Typical Low $102.33 Median $123.03 Typical High $181.97 | Professional | None | $102.33 | $123.03 | $181.97 |
CareSource Setting Facility Modifier None Typical Low $173.78 Median $239.88 Typical High $389.05 | Facility | None | $173.78 | $239.88 | $389.05 |
CareSource Setting Professional Modifier None Typical Low $269.15 Median $338.84 Typical High $426.58 | Professional | None | $269.15 | $338.84 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $371.54 | Facility | None | $134.90 | $134.90 | $371.54 |
Cigna Setting Professional Modifier None Typical Low $100.00 Median $134.90 Typical High $1,122.02 | Professional | None | $100.00 | $134.90 | $1,122.02 |
Molina Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $204.17 | Professional | None | $169.82 | $169.82 | $204.17 |
United Setting Facility Modifier None Typical Low $63.10 Median $63.10 Typical High $128.82 | Facility | None | $63.10 | $63.10 | $128.82 |
United Setting Professional Modifier None Typical Low $77.62 Median $120.23 Typical High $177.83 | Professional | None | $77.62 | $120.23 | $177.83 |
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 $45.71 Median $58.88 Typical High $79.43 | Professional | 52 · Reduced service | $45.71 | $58.88 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $23.44 Typical High $31.62 | Professional | 53 · Discontinued | $18.20 | $23.44 | $31.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.80 Median $17.78 Typical High $23.44 | Professional | 55 · Aftercare only | $13.80 | $17.78 | $23.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.12 Median $11.75 Typical High $15.85 | Professional | 56 · Pre-op care only | $9.12 | $11.75 | $15.85 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $12.30 Median $12.30 Typical High $12.30 | Professional | RR · Rental | $12.30 | $12.30 | $12.30 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $77.62 Median $91.20 Typical High $91.20 | Professional | UE · Used equipment | $77.62 | $91.20 | $91.20 |
Where Kentucky sits
The same service costs 3.9 times more in Kansas than in New Jersey. 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· 36th of 51
$123
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.