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 $12.88 Median $13.49 Typical High $23.44 | Facility | None | $12.88 | $13.49 | $23.44 |
Aetna Setting Professional Modifier None Typical Low $12.88 Median $13.49 Typical High $23.44 | Professional | None | $12.88 | $13.49 | $23.44 |
Anthem BCBS Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $33.11 | Professional | None | $23.99 | $23.99 | $33.11 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $17.78 Median $17.78 Typical High $23.99 | Professional | UE · Used equipment | $17.78 | $17.78 | $23.99 |
CareSource Setting Facility Modifier None Typical Low $34.67 Median $47.86 Typical High $89.13 | Facility | None | $34.67 | $47.86 | $89.13 |
CareSource Setting Professional Modifier None Typical Low $21.88 Median $33.88 Typical High $47.86 | Professional | None | $21.88 | $33.88 | $47.86 |
Cigna Setting Facility Modifier None Typical Low $28.84 Median $28.84 Typical High $38.02 | Facility | None | $28.84 | $28.84 | $38.02 |
Cigna Setting Professional Modifier None Typical Low $20.89 Median $23.44 Typical High $138.04 | Professional | None | $20.89 | $23.44 | $138.04 |
Molina Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $37.15 | Professional | None | $35.48 | $35.48 | $37.15 |
United Setting Professional Modifier None Typical Low $12.30 Median $16.22 Typical High $23.44 | Professional | None | $12.30 | $16.22 | $23.44 |
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 $6.46 Median $6.76 Typical High $11.75 | Professional | 52 · Reduced service | $6.46 | $6.76 | $11.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.57 Median $2.69 Typical High $4.68 | Professional | 53 · Discontinued | $2.57 | $2.69 | $4.68 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.91 Median $2.04 Typical High $3.55 | Professional | 55 · Aftercare only | $1.91 | $2.04 | $3.55 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.29 Median $1.35 Typical High $2.34 | Professional | 56 · Pre-op care only | $1.29 | $1.35 | $2.34 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $2.40 Median $2.40 Typical High $2.40 | Professional | RR · Rental | $2.40 | $2.40 | $2.40 |
Where Kentucky sits
The same service costs 4.1 times more in Wyoming 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· 24th of 51
$23.99
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.