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 $47.86 Median $70.79 Typical High $91.20 | Facility | None | $47.86 | $70.79 | $91.20 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $87.10 Typical High $93.33 | Professional | None | $47.86 | $87.10 | $93.33 |
Ambetter Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | None | $114.82 | $114.82 | $114.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $85.11 Median $134.90 Typical High $141.25 | Facility | None | $85.11 | $134.90 | $141.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $61.66 Median $77.62 Typical High $89.13 | Professional | None | $61.66 | $77.62 | $89.13 |
CareSource Setting Facility Modifier None Typical Low $87.10 Median $120.23 Typical High $190.55 | Facility | None | $87.10 | $120.23 | $190.55 |
CareSource Setting Professional Modifier None Typical Low $131.83 Median $165.96 Typical High $213.80 | Professional | None | $131.83 | $165.96 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $213.80 | Facility | None | $107.15 | $107.15 | $213.80 |
Cigna Setting Professional Modifier None Typical Low $77.62 Median $107.15 Typical High $758.58 | Professional | None | $77.62 | $107.15 | $758.58 |
Molina Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $102.33 | Professional | None | $85.11 | $85.11 | $102.33 |
United Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $870.96 | Facility | None | $89.13 | $89.13 | $870.96 |
United Setting Professional Modifier None Typical Low $44.67 Median $66.07 Typical High $102.33 | Professional | None | $44.67 | $66.07 | $102.33 |
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 $29.51 Median $43.65 Typical High $46.77 | Professional | 52 · Reduced service | $29.51 | $43.65 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $17.38 Typical High $18.62 | Professional | 53 · Discontinued | $11.75 | $17.38 | $18.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $8.71 Median $13.18 Typical High $13.80 | Professional | 55 · Aftercare only | $8.71 | $13.18 | $13.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.89 Median $8.71 Typical High $9.33 | Professional | 56 · Pre-op care only | $5.89 | $8.71 | $9.33 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $7.94 Median $7.94 Typical High $7.94 | Professional | RR · Rental | $7.94 | $7.94 | $7.94 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | UE · Used equipment | $58.88 | $58.88 | $58.88 |
Where Kentucky sits
The same service costs 5.1 times more in Hawaii 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· 48th of 51
$77.62
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.