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 $50.12 Median $74.13 Typical High $77.62 | Facility | None | $50.12 | $74.13 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $50.12 Median $74.13 Typical High $97.72 | Professional | None | $50.12 | $74.13 | $97.72 |
Anthem BCBS Setting Facility Modifier None Typical Low $87.10 Median $141.25 Typical High $147.91 | Facility | None | $87.10 | $141.25 | $147.91 |
Anthem BCBS Setting Professional Modifier None Typical Low $64.57 Median $81.28 Typical High $91.20 | Professional | None | $64.57 | $81.28 | $91.20 |
CareSource Setting Facility Modifier None Typical Low $89.13 Median $125.89 Typical High $199.53 | Facility | None | $89.13 | $125.89 | $199.53 |
CareSource Setting Professional Modifier None Typical Low $138.04 Median $173.78 Typical High $223.87 | Professional | None | $138.04 | $173.78 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $218.78 | Facility | None | $89.13 | $89.13 | $218.78 |
Cigna Setting Professional Modifier None Typical Low $66.07 Median $89.13 Typical High $776.25 | Professional | None | $66.07 | $89.13 | $776.25 |
Molina Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $107.15 | Professional | None | $89.13 | $89.13 | $107.15 |
United Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $114.82 | Facility | None | $93.33 | $93.33 | $114.82 |
United Setting Professional Modifier None Typical Low $45.71 Median $67.61 Typical High $93.33 | Professional | None | $45.71 | $67.61 | $93.33 |
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 $30.20 Median $37.15 Typical High $48.98 | Professional | 52 · Reduced service | $30.20 | $37.15 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $14.79 Typical High $19.50 | Professional | 53 · Discontinued | $12.02 | $14.79 | $19.50 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.12 Median $11.22 Typical High $14.45 | Professional | 55 · Aftercare only | $9.12 | $11.22 | $14.45 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.03 Median $7.41 Typical High $9.77 | Professional | 56 · Pre-op care only | $6.03 | $7.41 | $9.77 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $8.51 Median $8.51 Typical High $8.51 | Professional | RR · Rental | $8.51 | $8.51 | $8.51 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $51.29 Median $63.10 Typical High $63.10 | Professional | UE · Used equipment | $51.29 | $63.10 | $63.10 |
Where Kentucky sits
The same service costs 5.1 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· 41st of 51
$81.28
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.