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 $34.67 Median $51.29 Typical High $54.95 | Facility | None | $34.67 | $51.29 | $54.95 |
Aetna Setting Professional Modifier None Typical Low $30.90 Median $51.29 Typical High $63.10 | Professional | None | $30.90 | $51.29 | $63.10 |
Anthem BCBS Setting Facility Modifier None Typical Low $60.26 Median $97.72 Typical High $102.33 | Facility | None | $60.26 | $97.72 | $102.33 |
Anthem BCBS Setting Professional Modifier None Typical Low $44.67 Median $47.86 Typical High $64.57 | Professional | None | $44.67 | $47.86 | $64.57 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $36.31 Median $43.65 Typical High $43.65 | Professional | UE · Used equipment | $36.31 | $43.65 | $43.65 |
CareSource Setting Facility Modifier None Typical Low $61.66 Median $87.10 Typical High $138.04 | Facility | None | $61.66 | $87.10 | $138.04 |
CareSource Setting Professional Modifier None Typical Low $95.50 Median $120.23 Typical High $154.88 | Professional | None | $95.50 | $120.23 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $63.10 Typical High $147.91 | Facility | None | $56.23 | $63.10 | $147.91 |
Cigna Setting Professional Modifier None Typical Low $45.71 Median $63.10 Typical High $524.81 | Professional | None | $45.71 | $63.10 | $524.81 |
Molina Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $72.44 | Professional | None | $61.66 | $61.66 | $72.44 |
United Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $63.10 | Facility | None | $60.26 | $60.26 | $63.10 |
United Setting Professional Modifier None Typical Low $32.36 Median $46.77 Typical High $64.57 | Professional | None | $32.36 | $46.77 | $64.57 |
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 $21.38 Median $26.30 Typical High $33.88 | Professional | 52 · Reduced service | $21.38 | $26.30 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $10.72 Typical High $13.49 | Professional | 53 · Discontinued | $8.51 | $10.72 | $13.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.31 Median $7.94 Typical High $10.00 | Professional | 55 · Aftercare only | $6.31 | $7.94 | $10.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.27 Median $5.37 Typical High $6.76 | Professional | 56 · Pre-op care only | $4.27 | $5.37 | $6.76 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $5.75 Median $5.75 Typical High $5.75 | Professional | RR · Rental | $5.75 | $5.75 | $5.75 |
Where Kentucky sits
The same service costs 3.8 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· 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.