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 $54.95 Median $87.10 Typical High $107.15 | Facility | None | $54.95 | $87.10 | $107.15 |
Aetna Setting Professional Modifier None Typical Low $54.95 Median $102.33 Typical High $112.20 | Professional | None | $54.95 | $102.33 | $112.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $102.33 Median $165.96 Typical High $173.78 | Facility | None | $102.33 | $165.96 | $173.78 |
Anthem BCBS Setting Professional Modifier None Typical Low $75.86 Median $93.33 Typical High $109.65 | Professional | None | $75.86 | $93.33 | $109.65 |
CareSource Setting Facility Modifier None Typical Low $104.71 Median $147.91 Typical High $234.42 | Facility | None | $104.71 | $147.91 | $234.42 |
CareSource Setting Professional Modifier None Typical Low $162.18 Median $204.17 Typical High $263.03 | Professional | None | $162.18 | $204.17 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $234.42 | Facility | None | $117.49 | $117.49 | $234.42 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $117.49 Typical High $831.76 | Professional | None | $85.11 | $117.49 | $831.76 |
Molina Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $125.89 | Professional | None | $104.71 | $104.71 | $125.89 |
United Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $93.33 | Facility | None | $93.33 | $93.33 | $93.33 |
United Setting Professional Modifier None Typical Low $53.70 Median $75.86 Typical High $114.82 | Professional | None | $53.70 | $75.86 | $114.82 |
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 $36.31 Median $51.29 Typical High $56.23 | Professional | 52 · Reduced service | $36.31 | $51.29 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $20.42 Typical High $22.39 | Professional | 53 · Discontinued | $14.45 | $20.42 | $22.39 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.72 Median $15.14 Typical High $16.98 | Professional | 55 · Aftercare only | $10.72 | $15.14 | $16.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.24 Median $10.23 Typical High $11.22 | Professional | 56 · Pre-op care only | $7.24 | $10.23 | $11.22 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $9.33 Median $9.33 Typical High $9.33 | Professional | RR · Rental | $9.33 | $9.33 | $9.33 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | UE · Used equipment | $70.79 | $70.79 | $70.79 |
Where Kentucky sits
The same service costs 2.4 times more in Hawaii than in Colorado. 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· 38th of 51
$93.33
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.