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 $23.99 Median $35.48 Typical High $45.71 | Facility | None | $23.99 | $35.48 | $45.71 |
Aetna Setting Professional Modifier None Typical Low $29.51 Median $43.65 Typical High $46.77 | Professional | None | $29.51 | $43.65 | $46.77 |
Anthem BCBS Setting Facility Modifier None Typical Low $41.69 Median $67.61 Typical High $70.79 | Facility | None | $41.69 | $67.61 | $70.79 |
Anthem BCBS Setting Professional Modifier None Typical Low $30.90 Median $39.81 Typical High $44.67 | Professional | None | $30.90 | $39.81 | $44.67 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $3.98 Median $3.98 Typical High $39.81 | Professional | RR · Rental | $3.98 | $3.98 | $39.81 |
CareSource Setting Facility Modifier None Typical Low $42.66 Median $60.26 Typical High $95.50 | Facility | None | $42.66 | $60.26 | $95.50 |
CareSource Setting Professional Modifier None Typical Low $66.07 Median $83.18 Typical High $107.15 | Professional | None | $66.07 | $83.18 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $107.15 | Facility | None | $56.23 | $56.23 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $40.74 Median $53.70 Typical High $380.19 | Professional | None | $40.74 | $53.70 | $380.19 |
Molina Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $50.12 | Professional | None | $42.66 | $42.66 | $50.12 |
United Setting Facility Modifier None Typical Low $43.65 Median $43.65 Typical High $43.65 | Facility | None | $43.65 | $43.65 | $43.65 |
United Setting Professional Modifier None Typical Low $22.39 Median $33.11 Typical High $50.12 | Professional | None | $22.39 | $33.11 | $50.12 |
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 $14.79 Median $21.88 Typical High $23.44 | Professional | 52 · Reduced service | $14.79 | $21.88 | $23.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $8.71 Typical High $9.33 | Professional | 53 · Discontinued | $5.89 | $8.71 | $9.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.37 Median $6.61 Typical High $6.92 | Professional | 55 · Aftercare only | $4.37 | $6.61 | $6.92 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.95 Median $4.37 Typical High $4.68 | Professional | 56 · Pre-op care only | $2.95 | $4.37 | $4.68 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $29.51 Median $29.51 Typical High $39.81 | Professional | UE · Used equipment | $29.51 | $29.51 | $39.81 |
Where Kentucky sits
The same service costs 3.1 times more in Hawaii than in Kentucky. 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· 51st of 51
$39.81
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.