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 $32.36 Median $48.98 Typical High $50.12 | Facility | None | $32.36 | $48.98 | $50.12 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $48.98 Typical High $64.57 | Professional | None | $28.84 | $48.98 | $64.57 |
Ambetter Setting Professional Modifier None Typical Low $69.18 Median $93.33 Typical High $117.49 | Professional | None | $69.18 | $93.33 | $117.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $58.88 Median $93.33 Typical High $100.00 | Facility | None | $58.88 | $93.33 | $100.00 |
Anthem BCBS Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $63.10 | Professional | None | $43.65 | $43.65 | $63.10 |
CareSource Setting Facility Modifier None Typical Low $69.18 Median $93.33 Typical High $134.90 | Facility | None | $69.18 | $93.33 | $134.90 |
CareSource Setting Professional Modifier None Typical Low $93.33 Median $102.33 Typical High $138.04 | Professional | None | $93.33 | $102.33 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $138.04 | Facility | None | $57.54 | $57.54 | $138.04 |
Cigna Setting Professional Modifier None Typical Low $42.66 Median $57.54 Typical High $501.19 | Professional | None | $42.66 | $57.54 | $501.19 |
Molina Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $70.79 | Professional | None | $58.88 | $58.88 | $70.79 |
United Setting Facility Modifier None Typical Low $43.65 Median $43.65 Typical High $51.29 | Facility | None | $43.65 | $43.65 | $51.29 |
United Setting Professional Modifier None Typical Low $30.90 Median $43.65 Typical High $61.66 | Professional | None | $30.90 | $43.65 | $61.66 |
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 $20.42 Median $24.55 Typical High $31.62 | Professional | 52 · Reduced service | $20.42 | $24.55 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $9.77 Typical High $12.88 | Professional | 53 · Discontinued | $8.13 | $9.77 | $12.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.17 Median $7.41 Typical High $9.55 | Professional | 55 · Aftercare only | $6.17 | $7.41 | $9.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.07 Median $4.90 Typical High $6.46 | Professional | 56 · Pre-op care only | $4.07 | $4.90 | $6.46 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $5.50 Median $5.50 Typical High $5.50 | Professional | RR · Rental | $5.50 | $5.50 | $5.50 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $33.11 Median $40.74 Typical High $40.74 | Professional | UE · Used equipment | $33.11 | $40.74 | $40.74 |
Where Kentucky sits
The same service costs 2.6 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· 49th of 51
$48.98
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.