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 $36.31 Median $38.90 Typical High $67.61 | Facility | None | $36.31 | $38.90 | $67.61 |
Aetna Setting Professional Modifier None Typical Low $36.31 Median $38.90 Typical High $67.61 | Professional | None | $36.31 | $38.90 | $67.61 |
Anthem BCBS Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $79.43 | Professional | None | $38.90 | $38.90 | $79.43 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $29.51 Median $29.51 Typical High $42.66 | Professional | UE · Used equipment | $29.51 | $29.51 | $42.66 |
CareSource Setting Facility Modifier None Typical Low $70.79 Median $100.00 Typical High $169.82 | Facility | None | $70.79 | $100.00 | $169.82 |
CareSource Setting Professional Modifier None Typical Low $69.18 Median $91.20 Typical High $109.65 | Professional | None | $69.18 | $91.20 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $38.02 Median $38.02 Typical High $109.65 | Facility | None | $38.02 | $38.02 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $27.54 Median $38.02 Typical High $389.05 | Professional | None | $27.54 | $38.02 | $389.05 |
Molina Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $70.79 | Professional | None | $67.61 | $67.61 | $70.79 |
United Setting Professional Modifier None Typical Low $35.48 Median $46.77 Typical High $67.61 | Professional | None | $35.48 | $46.77 | $67.61 |
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 $18.20 Median $19.50 Typical High $33.88 | Professional | 52 · Reduced service | $18.20 | $19.50 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $7.76 Typical High $13.49 | Professional | 53 · Discontinued | $7.41 | $7.76 | $13.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.50 Median $5.75 Typical High $10.23 | Professional | 55 · Aftercare only | $5.50 | $5.75 | $10.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.63 Median $3.89 Typical High $6.76 | Professional | 56 · Pre-op care only | $3.63 | $3.89 | $6.76 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $3.89 Median $3.89 Typical High $3.89 | Professional | RR · Rental | $3.89 | $3.89 | $3.89 |
Where Kentucky sits
The same service costs 49.0 times more in North Dakota than in Hawaii. 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· 44th of 51
$44.67
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.