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 $7.59 Median $24.55 Typical High $25.70 | Facility | None | $7.59 | $24.55 | $25.70 |
Aetna Setting Professional Modifier None Typical Low $19.50 Median $24.55 Typical High $26.92 | Professional | None | $19.50 | $24.55 | $26.92 |
Anthem BCBS Setting Facility Modifier None Typical Low $29.51 Median $46.77 Typical High $48.98 | Facility | None | $29.51 | $46.77 | $48.98 |
Anthem BCBS Setting Professional Modifier None Typical Low $21.38 Median $23.99 Typical High $31.62 | Professional | None | $21.38 | $23.99 | $31.62 |
CareSource Setting Facility Modifier None Typical Low $30.20 Median $41.69 Typical High $67.61 | Facility | None | $30.20 | $41.69 | $67.61 |
CareSource Setting Professional Modifier None Typical Low $45.71 Median $57.54 Typical High $74.13 | Professional | None | $45.71 | $57.54 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $26.92 Median $26.92 Typical High $64.57 | Facility | None | $26.92 | $26.92 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $19.95 Median $26.92 Typical High $223.87 | Professional | None | $19.95 | $26.92 | $223.87 |
Molina Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $32.36 | Professional | None | $26.92 | $26.92 | $32.36 |
United Setting Professional Modifier None Typical Low $15.49 Median $20.89 Typical High $30.20 | Professional | None | $15.49 | $20.89 | $30.20 |
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 $9.77 Median $12.30 Typical High $13.49 | Professional | 52 · Reduced service | $9.77 | $12.30 | $13.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.89 Median $4.90 Typical High $5.37 | Professional | 53 · Discontinued | $3.89 | $4.90 | $5.37 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.95 Median $3.72 Typical High $4.07 | Professional | 55 · Aftercare only | $2.95 | $3.72 | $4.07 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.95 Median $2.45 Typical High $2.69 | Professional | 56 · Pre-op care only | $1.95 | $2.45 | $2.69 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $2.45 Median $2.45 Typical High $2.45 | Professional | RR · Rental | $2.45 | $2.45 | $2.45 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | UE · Used equipment | $18.20 | $18.20 | $18.20 |
Where Kentucky sits
The same service costs 2.5 times more in Montana than in Delaware. 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· 37th 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.