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 $104.71 Typical High $109.65 | Facility | None | $48.98 | $104.71 | $109.65 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $104.71 Typical High $114.82 | Professional | None | $83.18 | $104.71 | $114.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $123.03 Median $199.53 Typical High $208.93 | Facility | None | $123.03 | $199.53 | $208.93 |
Anthem BCBS Setting Professional Modifier None Typical Low $57.54 Median $114.82 Typical High $131.83 | Professional | None | $57.54 | $114.82 | $131.83 |
CareSource Setting Facility Modifier None Typical Low $125.89 Median $177.83 Typical High $281.84 | Facility | None | $125.89 | $177.83 | $281.84 |
CareSource Setting Professional Modifier None Typical Low $194.98 Median $245.47 Typical High $316.23 | Professional | None | $194.98 | $245.47 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $269.15 | Facility | None | $128.82 | $128.82 | $269.15 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $128.82 Typical High $954.99 | Professional | None | $95.50 | $128.82 | $954.99 |
Molina Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $147.91 | Professional | None | $123.03 | $123.03 | $147.91 |
United Setting Professional Modifier None Typical Low $64.57 Median $89.13 Typical High $128.82 | Professional | None | $64.57 | $89.13 | $128.82 |
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 $41.69 Median $52.48 Typical High $57.54 | Professional | 52 · Reduced service | $41.69 | $52.48 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $20.89 Typical High $22.91 | Professional | 53 · Discontinued | $16.60 | $20.89 | $22.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.59 Median $15.85 Typical High $16.98 | Professional | 55 · Aftercare only | $12.59 | $15.85 | $16.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.32 Median $10.47 Typical High $11.48 | Professional | 56 · Pre-op care only | $8.32 | $10.47 | $11.48 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $11.48 Median $11.48 Typical High $11.48 | Professional | RR · Rental | $11.48 | $11.48 | $11.48 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | UE · Used equipment | $85.11 | $85.11 | $85.11 |
Where Kentucky sits
The same service costs 2.5 times more in Kansas than in Utah. 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· 39th of 51
$105
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.