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 $48.98 Median $75.86 Typical High $81.28 | Facility | None | $48.98 | $75.86 | $81.28 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $75.86 Typical High $107.15 | Professional | None | $64.57 | $75.86 | $107.15 |
Ambetter Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $162.18 | Professional | None | $104.71 | $104.71 | $162.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $97.72 Median $158.49 Typical High $165.96 | Facility | None | $97.72 | $158.49 | $165.96 |
Anthem BCBS Setting Professional Modifier None Typical Low $66.07 Median $72.44 Typical High $104.71 | Professional | None | $66.07 | $72.44 | $104.71 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | UE · Used equipment | $61.66 | $61.66 | $61.66 |
CareSource Setting Facility Modifier None Typical Low $100.00 Median $138.04 Typical High $223.87 | Facility | None | $100.00 | $138.04 | $223.87 |
CareSource Setting Professional Modifier None Typical Low $154.88 Median $194.98 Typical High $245.47 | Professional | None | $154.88 | $194.98 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $81.28 Median $87.10 Typical High $213.80 | Facility | None | $81.28 | $87.10 | $213.80 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $87.10 Typical High $758.58 | Professional | None | $63.10 | $87.10 | $758.58 |
Molina Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $117.49 | Professional | None | $97.72 | $97.72 | $117.49 |
United Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $120.23 | Facility | None | $91.20 | $91.20 | $120.23 |
United Setting Professional Modifier None Typical Low $51.29 Median $69.18 Typical High $102.33 | Professional | None | $51.29 | $69.18 | $102.33 |
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 $30.90 Median $38.02 Typical High $53.70 | Professional | 52 · Reduced service | $30.90 | $38.02 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $15.14 Typical High $21.88 | Professional | 53 · Discontinued | $12.30 | $15.14 | $21.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.33 Median $11.48 Typical High $16.22 | Professional | 55 · Aftercare only | $9.33 | $11.48 | $16.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.17 Median $7.59 Typical High $10.96 | Professional | 56 · Pre-op care only | $6.17 | $7.59 | $10.96 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $8.13 Median $8.13 Typical High $8.13 | Professional | RR · Rental | $8.13 | $8.13 | $8.13 |
Where Kentucky sits
The same service costs 5.0 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· 44th 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.