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 $51.29 Median $83.18 Typical High $89.13 | Facility | None | $51.29 | $83.18 | $89.13 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $85.11 Typical High $93.33 | Professional | None | $67.61 | $85.11 | $93.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $100.00 Median $162.18 Typical High $169.82 | Facility | None | $100.00 | $162.18 | $169.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $74.13 Median $83.18 Typical High $107.15 | Professional | None | $74.13 | $83.18 | $107.15 |
CareSource Setting Facility Modifier None Typical Low $102.33 Median $141.25 Typical High $229.09 | Facility | None | $102.33 | $141.25 | $229.09 |
CareSource Setting Professional Modifier None Typical Low $158.49 Median $199.53 Typical High $251.19 | Professional | None | $158.49 | $199.53 | $251.19 |
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 $64.57 Median $89.13 Typical High $776.25 | Professional | None | $64.57 | $89.13 | $776.25 |
Molina Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $120.23 | Professional | None | $100.00 | $100.00 | $120.23 |
United Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
United Setting Professional Modifier None Typical Low $52.48 Median $70.79 Typical High $104.71 | Professional | None | $52.48 | $70.79 | $104.71 |
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 $33.88 Median $42.66 Typical High $46.77 | Professional | 52 · Reduced service | $33.88 | $42.66 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $16.98 Typical High $18.62 | Professional | 53 · Discontinued | $13.49 | $16.98 | $18.62 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.00 Median $12.59 Typical High $14.13 | Professional | 55 · Aftercare only | $10.00 | $12.59 | $14.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.76 Median $8.51 Typical High $9.33 | Professional | 56 · Pre-op care only | $6.76 | $8.51 | $9.33 |
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 $63.10 Median $63.10 Typical High $63.10 | Professional | UE · Used equipment | $63.10 | $63.10 | $63.10 |
Where Kentucky sits
The same service costs 2.8 times more in Kansas 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· 43rd of 51
$83.18
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.