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 $38.02 Median $56.23 Typical High $64.57 | Facility | None | $38.02 | $56.23 | $64.57 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $61.66 Typical High $74.13 | Professional | None | $38.02 | $61.66 | $74.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $67.61 Median $107.15 Typical High $114.82 | Facility | None | $67.61 | $107.15 | $114.82 |
Anthem BCBS Setting Professional Modifier None Typical Low $50.12 Median $61.66 Typical High $72.44 | Professional | None | $50.12 | $61.66 | $72.44 |
CareSource Setting Facility Modifier None Typical Low $69.18 Median $95.50 Typical High $154.88 | Facility | None | $69.18 | $95.50 | $154.88 |
CareSource Setting Professional Modifier None Typical Low $107.15 Median $131.83 Typical High $169.82 | Professional | None | $107.15 | $131.83 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $162.18 | Facility | None | $66.07 | $66.07 | $162.18 |
Cigna Setting Professional Modifier None Typical Low $48.98 Median $66.07 Typical High $588.84 | Professional | None | $48.98 | $66.07 | $588.84 |
Molina Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $81.28 | Professional | None | $67.61 | $67.61 | $81.28 |
United Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $69.18 | Facility | None | $61.66 | $61.66 | $69.18 |
United Setting Professional Modifier None Typical Low $35.48 Median $52.48 Typical High $79.43 | Professional | None | $35.48 | $52.48 | $79.43 |
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 $22.91 Median $30.90 Typical High $37.15 | Professional | 52 · Reduced service | $22.91 | $30.90 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $12.30 Typical High $14.79 | Professional | 53 · Discontinued | $9.12 | $12.30 | $14.79 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.92 Median $9.33 Typical High $11.22 | Professional | 55 · Aftercare only | $6.92 | $9.33 | $11.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.57 Median $6.17 Typical High $7.41 | Professional | 56 · Pre-op care only | $4.57 | $6.17 | $7.41 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $6.17 Median $6.17 Typical High $6.17 | Professional | RR · Rental | $6.17 | $6.17 | $6.17 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | UE · Used equipment | $45.71 | $45.71 | $45.71 |
Where Kentucky sits
The same service costs 3.5 times more in Hawaii than in Florida. 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· 40th of 51
$61.66
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.